K50.111
BillableCrohn's disease of large 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 large intestine with bleeding from the rectum as a complication.
Coding Tips
- •Rectal bleeding in large intestine Crohn's disease is a common and significant complication
- •Document the severity and frequency of bleeding if available
Clinical Significance
Crohn's disease of the large intestine with rectal bleeding indicates active colonic inflammation with hemorrhagic manifestation. Rectal bleeding is more commonly associated with large intestine Crohn's than small intestine disease due to the proximity to the rectum. This complication may require colonoscopic evaluation, medication adjustments, and monitoring for anemia.
Documentation Requirements
- ✓Provider documentation of Crohn's disease of the large intestine with rectal bleeding
- ✓Clinical evidence of rectal bleeding attributed to Crohn's disease
- ✓Colonoscopic findings if available documenting the source of bleeding
- ✓Hemoglobin and hematocrit levels to assess bleeding severity
- ✓Treatment plan adjustments for the bleeding complication
Commonly Confused Codes
K50.10 — Crohn's disease of large intestine without complications: no bleeding presentK50.011 — Crohn's disease of small intestine with rectal bleeding: small intestine locationK50.811 — Crohn's disease of both small and large intestine with rectal bleeding: both sitesK51.011 — Ulcerative pancolitis with rectal bleeding: ulcerative colitis, not Crohn'sK62.5 — Hemorrhage of anus and rectum: not attributed to Crohn's disease
Code Hierarchy
└K50Crohn's disease [regional enteritis]└K50.1Crohn's disease of large intestine└K50.11Crohn's disease of large intestine with complications└K50.111Crohn's disease of large intestine with rectal bleeding
└K50.111Crohn's disease of large intestine with rectal bleeding