K50.014
BillableCrohn's disease of small intestine with abscess
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 a localized collection of pus (abscess) as a complication.
Coding Tips
- •Abscess formation indicates a more severe disease state requiring intervention
- •Document the location of the abscess and any drainage procedures performed
Clinical Significance
Crohn's disease of the small intestine with abscess indicates a severe infectious complication where chronic inflammation leads to walled-off pus collections in the mesentery, abdominal wall, or peritoneal cavity. Abscesses in Crohn's disease often require percutaneous drainage or surgical intervention alongside antibiotic therapy. This complication may indicate disease progression or treatment failure.
Documentation Requirements
- ✓Provider documentation of Crohn's disease of the small intestine with abscess formation
- ✓Imaging confirmation of abscess (CT scan with contrast is preferred)
- ✓Location and size of abscess documented
- ✓Drainage procedure documentation if performed (percutaneous vs. surgical)
- ✓Antibiotic therapy and follow-up imaging plan
- ✓Assessment of whether the abscess is related to fistulizing disease
Commonly Confused Codes
K50.00 — Crohn's disease of small intestine without complications: no abscess presentK50.013 — Crohn's disease of small intestine with fistula: fistula (tract) vs. abscess (pus collection)K50.114 — Crohn's disease of large intestine with abscess: large intestine locationK50.814 — Crohn's disease of both small and large intestine with abscess: both sitesK63.0 — Abscess of intestine: not attributed to Crohn's disease
Code Hierarchy
└K50Crohn's disease [regional enteritis]└K50.0Crohn's disease of small intestine└K50.01Crohn's disease of small intestine with complications└K50.014Crohn's disease of small intestine with abscess
└K50.014Crohn's disease of small intestine with abscess