K50.812
BillableCrohn's disease of both small and large intestine with intestinal obstruction
HCC Category Mapping
RxHCCHCC 67 — Inflammatory Bowel Disease
0.000What This Code Means
Crohn's disease affecting both the small and large intestines with a blockage preventing normal passage of intestinal contents.
Coding Tips
- •Ensure documentation specifies both small and large intestine involvement and confirms obstruction
- •Obstruction may be partial or complete; document severity if available
Clinical Significance
Crohn's disease of both small and large intestine with intestinal obstruction indicates stricturing disease in ileocolonic Crohn's causing bowel blockage. The obstruction may occur at the terminal ileum (most common) or the colon, and the extensive disease involvement increases surgical complexity. This complication often requires hospitalization and may necessitate ileocolonic resection.
Documentation Requirements
- ✓Provider documentation of Crohn's disease involving both small and large intestine with intestinal obstruction
- ✓Imaging confirmation of obstruction and its location
- ✓Documentation of both small and large intestine disease involvement
- ✓Partial vs. complete obstruction specification
- ✓Treatment approach (bowel rest, nasogastric decompression, surgical intervention)
Commonly Confused Codes
K50.80 — Crohn's disease of both sites without complications: no obstruction presentK50.012 — Crohn's disease of small intestine with intestinal obstruction: small intestine onlyK50.112 — Crohn's disease of large intestine with intestinal obstruction: large intestine onlyK50.912 — Crohn's disease, unspecified, with intestinal obstruction: site not documentedK56.60 — Unspecified intestinal obstruction: not attributed to Crohn's disease
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└K50.812Crohn's disease of both small and large intestine with intestinal obstruction
└K50.812Crohn's disease of both small and large intestine with intestinal obstruction