K50.012
BillableCrohn's disease of small intestine with intestinal obstruction
HCC Category Mapping
RxHCCHCC 67 — Inflammatory Bowel Disease
0.000What This Code Means
Crohn's disease of the small intestine that is causing a blockage in the intestines.
Coding Tips
- •Obstruction is a serious complication requiring documentation of severity and treatment approach
- •Distinguish between partial and complete obstruction if documented
Clinical Significance
Crohn's disease of the small intestine with intestinal obstruction is a serious complication indicating stricturing disease that has progressed to bowel blockage. Obstruction in Crohn's typically results from chronic inflammation leading to fibrotic strictures. This complication often requires hospitalization, bowel rest, and potentially surgical strictureplasty or resection.
Documentation Requirements
- ✓Provider documentation of Crohn's disease of the small intestine with intestinal obstruction
- ✓Imaging evidence confirming obstruction (CT scan, X-ray showing air-fluid levels or transition point)
- ✓Specification of partial vs. complete obstruction if documented
- ✓Clinical evidence (nausea, vomiting, abdominal distension, absent bowel sounds)
- ✓Treatment approach (conservative management vs. surgical intervention)
Commonly Confused Codes
K50.00 — Crohn's disease of small intestine without complications: no obstruction presentK50.112 — Crohn's disease of large intestine with intestinal obstruction: large intestine locationK50.812 — Crohn's disease of both small and large intestine with intestinal obstruction: both sitesK56.60 — Unspecified intestinal obstruction: not attributed to Crohn's diseaseK50.013 — Crohn's disease of small intestine with fistula: different complication type
Code Hierarchy
└K50Crohn's disease [regional enteritis]└K50.0Crohn's disease of small intestine└K50.01Crohn's disease of small intestine with complications└K50.012Crohn's disease of small intestine with intestinal obstruction
└K50.012Crohn's disease of small intestine with intestinal obstruction