K50.814
BillableCrohn's disease of both small and 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 affecting both the small and large intestines with a localized collection of pus (abscess) in the intestinal tissue or surrounding area.
Coding Tips
- •Confirm documentation specifies abscess as a complication in the context of ileocolonic disease
- •Abscesses may require imaging confirmation and possible drainage procedures
Clinical Significance
Crohn's disease of both small and large intestine with abscess indicates severe ileocolonic disease with an infectious complication requiring drainage and antibiotics. Abscesses in ileocolonic Crohn's disease may form in the mesentery, retroperitoneum, or peritoneal cavity, and often signal underlying fistulizing disease that may require staged surgical management.
Documentation Requirements
- ✓Provider documentation of Crohn's disease involving both small and large intestine with abscess
- ✓Imaging confirmation of abscess with size and precise location
- ✓Both anatomic sites of disease confirmed
- ✓Drainage procedure and antibiotic regimen documented
- ✓Assessment for underlying fistula as the source
- ✓Follow-up plan including repeat imaging
Commonly Confused Codes
K50.80 — Crohn's disease of both sites without complications: no abscess presentK50.014 — Crohn's disease of small intestine with abscess: small intestine onlyK50.114 — Crohn's disease of large intestine with abscess: large intestine onlyK50.813 — Crohn's disease of both sites with fistula: fistula vs. abscessK63.0 — Abscess of intestine: 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└K50.814Crohn's disease of both small and large intestine with abscess
└K50.814Crohn's disease of both small and large intestine with abscess