K50.112
BillableCrohn's disease of large intestine with intestinal obstruction
HCC Category Mapping
RxHCCHCC 67 — Inflammatory Bowel Disease
0.000What This Code Means
Crohn's disease affecting the large intestine with a blockage that prevents food and waste from passing through normally.
Coding Tips
- •Verify documentation specifies the large intestine (colon) location and confirms intestinal obstruction as a complication
- •Do not use this code if obstruction is not documented; use K50.110 instead for uncomplicated disease
Clinical Significance
Crohn's disease of the large intestine with intestinal obstruction indicates stricturing disease in the colon causing bowel blockage. Colonic obstruction in Crohn's disease is less common than small bowel obstruction but carries significant clinical impact, potentially requiring emergency surgical intervention including colectomy. This complication reflects advanced or poorly controlled disease.
Documentation Requirements
- ✓Provider documentation of Crohn's disease of the large intestine with intestinal obstruction
- ✓Imaging confirmation of colonic obstruction (CT abdomen, abdominal X-ray)
- ✓Specification of partial vs. complete obstruction
- ✓Location of obstruction within the colon if documented
- ✓Clinical presentation (abdominal distension, obstipation, nausea/vomiting)
- ✓Treatment approach (conservative management vs. surgical intervention)
Commonly Confused Codes
K50.10 — Crohn's disease of large intestine without complications: no obstruction presentK50.012 — Crohn's disease of small intestine with intestinal obstruction: small 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 diseaseK50.113 — Crohn's disease of large intestine with fistula: different complication type
Code Hierarchy
└K50Crohn's disease [regional enteritis]└K50.1Crohn's disease of large intestine└K50.11Crohn's disease of large intestine with complications└K50.112Crohn's disease of large intestine with intestinal obstruction
└K50.112Crohn's disease of large intestine with intestinal obstruction