K50.011
BillableCrohn's disease of small intestine with rectal bleeding
HCC Category Mapping
V28HCC 80 — Crohn's Disease
0.000V24HCC 35 — Inflammatory Bowel Disease
0.289ESRDHCC 35 — Inflammatory Bowel Disease
0.000RxHCCHCC 67 — Inflammatory Bowel Disease
0.000What This Code Means
Crohn's disease of the small intestine with bleeding from the rectum as a complication.
Coding Tips
- •Document the presence of rectal bleeding separately from other GI bleeding complications
- •This code indicates bleeding specifically, not just inflammation
Clinical Significance
Crohn's disease of the small intestine with rectal bleeding indicates active disease with hemorrhagic complications, reflecting a higher severity than uncomplicated disease. Rectal bleeding in small intestine Crohn's may indicate distal disease activity or concurrent anorectal involvement. This complication increases monitoring needs and may require medication adjustments or surgical evaluation.
Documentation Requirements
- ✓Provider documentation of Crohn's disease affecting the small intestine with rectal bleeding
- ✓Clinical evidence of rectal bleeding (visible blood, positive fecal occult blood, hemoglobin trends)
- ✓Confirmation that the bleeding is attributed to Crohn's disease and not another source
- ✓Severity and frequency of bleeding episodes documented
- ✓Current treatment plan and any changes prompted by the bleeding complication
Commonly Confused Codes
K50.00 — Crohn's disease of small intestine without complications: no bleeding presentK50.111 — Crohn's disease of large intestine with rectal bleeding: large intestine, not small intestineK50.811 — Crohn's disease of both small and large intestine with rectal bleeding: both sites involvedK62.5 — Hemorrhage of anus and rectum: not attributed to Crohn's diseaseK50.012 — Crohn's disease of small intestine with intestinal obstruction: different complication
Code Hierarchy
└K50Crohn's disease [regional enteritis]└K50.0Crohn's disease of small intestine└K50.01Crohn's disease of small intestine with complications└K50.011Crohn's disease of small intestine with rectal bleeding
└K50.011Crohn's disease of small intestine with rectal bleeding