K50.114
BillableCrohn's disease of large 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 large intestine with a localized collection of pus (abscess) in or around the intestinal tissue.
Coding Tips
- •Confirm documentation specifies abscess as a complication; note the location if documented
- •Abscesses may require additional intervention codes if drained or treated surgically
Clinical Significance
Crohn's disease of the large intestine with abscess is a severe infectious complication indicating pericolonic or pericolic pus collection. Abscesses in colonic Crohn's disease may present as perianal, mesenteric, or intra-abdominal collections requiring drainage and antibiotics. This complication often heralds underlying fistulizing disease and may necessitate surgical management.
Documentation Requirements
- ✓Provider documentation of Crohn's disease of the large intestine with abscess
- ✓Imaging confirmation of abscess with size and location documented
- ✓Drainage procedure documentation if performed
- ✓Antibiotic therapy prescribed
- ✓Assessment for concurrent fistulizing disease
- ✓Follow-up imaging plan to confirm resolution
Commonly Confused Codes
K50.10 — Crohn's disease of large intestine without complications: no abscess presentK50.113 — Crohn's disease of large intestine with fistula: fistula vs. abscessK50.014 — Crohn's disease of small intestine with abscess: small intestine locationK50.814 — Crohn's disease of both small and large intestine with abscess: both sitesK61.1 — Rectal abscess: 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└K50.114Crohn's disease of large intestine with abscess
└K50.114Crohn's disease of large intestine with abscess