K50.811
BillableCrohn's disease of both small and 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 affecting both the small and large intestines with bleeding from the rectum.
Coding Tips
- •Verify documentation confirms both small and large intestine involvement and rectal bleeding
- •Rectal bleeding may require additional evaluation codes depending on severity and management
Clinical Significance
Crohn's disease of both small and large intestine with rectal bleeding indicates active ileocolonic disease with hemorrhagic complications. The extensive disease involvement combined with bleeding reflects more severe disease activity and may indicate both colonic and terminal ileal inflammation. These patients often require more intensive biologic therapy and closer monitoring.
Documentation Requirements
- ✓Provider documentation of Crohn's disease involving both small and large intestine with rectal bleeding
- ✓Confirmation of both anatomic sites being affected
- ✓Evidence of rectal bleeding attributed to the Crohn's disease
- ✓Assessment of bleeding severity (hemoglobin, hematocrit, transfusion needs)
- ✓Colonoscopic or endoscopic findings if available
Commonly Confused Codes
K50.80 — Crohn's disease of both sites without complications: no bleeding presentK50.011 — Crohn's disease of small intestine with rectal bleeding: small intestine onlyK50.111 — Crohn's disease of large intestine with rectal bleeding: large intestine onlyK50.911 — Crohn's disease, unspecified, with rectal bleeding: site not documentedK51.811 — Other ulcerative colitis with rectal bleeding: ulcerative colitis, not Crohn's
Code Hierarchy
└K50Crohn's disease [regional enteritis]└K50.8Crohn's disease of both small and large intestine└K50.81Crohn's disease of both small and large intestine with complications└K50.811Crohn's disease of both small and large intestine with rectal bleeding
└K50.811Crohn's disease of both small and large intestine with rectal bleeding