E84.11
BillableMeconium ileus in cystic fibrosis
HCC Category Mapping
V28HCC 277 — Cystic Fibrosis
0.405V24HCC 110 — Cystic Fibrosis
0.473ESRDHCC 110 — Cystic Fibrosis
0.000RxHCCHCC 225 — Cystic Fibrosis
0.000What This Code Means
Meconium ileus is a serious intestinal blockage in newborns with cystic fibrosis caused by thick, sticky meconium (first stool) that cannot pass normally.
Coding Tips
- •This code is typically used in neonatal cases; verify the patient's age and clinical presentation matches meconium ileus specifically
- •Document whether surgical intervention was required, as this affects severity and treatment coding
Clinical Significance
Meconium ileus is a neonatal intestinal obstruction occurring in approximately 15-20% of newborns with cystic fibrosis and is often the presenting sign of the disease. While primarily a pediatric diagnosis, it remains reportable as part of the patient's cystic fibrosis history and carries the same high RAF weight as other CF codes.
Documentation Requirements
- ✓Confirmed cystic fibrosis diagnosis
- ✓Documentation of meconium ileus (current or historical)
- ✓Surgical intervention history if applicable (bowel resection, ostomy)
- ✓Ongoing GI complications from meconium ileus
- ✓Current CF management plan including pancreatic enzyme replacement
Excludes 1 — Do NOT code together
- meconium ileus not due to cystic fibrosis (P76.0)
Commonly Confused Codes
E84.19 — Cystic fibrosis with other intestinal manifestations: use for non-meconium-ileus GI involvement (DIOS, rectal prolapse)E84.0 — Cystic fibrosis with pulmonary manifestations: for pulmonary involvement; may be coded in addition to E84.11P76.0 — Meconium plug syndrome: neonatal condition NOT associated with cystic fibrosisK56.0 — Paralytic ileus: acquired ileus not related to meconium or cystic fibrosis
Code Hierarchy
└E84Cystic fibrosis└E84.1Cystic fibrosis with intestinal manifestations└E84.11Meconium ileus in cystic fibrosis
└E84.11Meconium ileus in cystic fibrosis