Is K91.6 a billable ICD-10-CM code?

No. K91.6 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does K91.6 sit in the tabular list?

Diseases of the digestive system (K00-K95), in the block Other diseases of the digestive system (K90-K95).

What cannot be coded together with K91.6?

K91.6 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter.

K91.6

K91.6 — Intraoperative hemorrhage and hematoma of a digestive system organ or structure complicating a procedure

Non-billable headerICD-10-CM

K91.6 is a non-billable header ICD-10-CM code for intraoperative hemorrhage and hematoma of a digestive system organ or structure complicating a procedure. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

intraoperative hemorrhage and hematoma of a digestive system organ or structure due to accidental puncture and laceration during a procedure (K91.7-)

Excludes2 inherited from the categories above K91.6

Also inherited, and the opposite of Excludes1: these conditions are not part of K91.6, but a patient can have both, so you may code both.

Written on K91 — Intraoperative and postprocedural complications and disorders of digestive system, not elsewhere classified

complications of artificial opening of digestive system (K94.-)
complications of bariatric procedures (K95.-)
gastrojejunal ulcer (K28.-)
postprocedural (radiation) retroperitoneal abscess (K68.11)
radiation colitis (K52.0)
radiation gastroenteritis (K52.0)
radiation proctitis (K62.7)

Risk adjustment

K91.6 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code history

K91.6 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Code to one of these instead K91.6

2 child codes. Green means billable.

Related codes at this level

Codes that share K91. If K91.6 is not quite right, the correct code is usually one of these.

Questions about K91.6

Is K91.6 a billable ICD-10-CM code?: No. K91.6 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does K91.6 sit in the tabular list?: Diseases of the digestive system (K00-K95), in the block Other diseases of the digestive system (K90-K95).
What cannot be coded together with K91.6?: K91.6 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter.