K50.818
BillableCrohn's disease of both small and large intestine with other complication
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 complications such as perforation, toxic megacolon, or other specified conditions.
Coding Tips
- •Verify the specific complication documented in the medical record to ensure accurate code selection
- •This code requires documentation of both the disease location (ileocolonic) and the specific complication present
Clinical Significance
Crohn's disease of both small and large intestine with other complication captures ileocolonic Crohn's disease with complications outside the standard categories. This may include toxic megacolon, perforation, malnutrition, stricture without obstruction, or significant extraintestinal manifestations. The extensive disease location combined with atypical complications often indicates complex disease requiring multidisciplinary management.
Documentation Requirements
- ✓Provider documentation of ileocolonic Crohn's disease with a specified complication
- ✓Clear identification of the complication that is not bleeding, obstruction, fistula, or abscess
- ✓Both small and large intestine involvement confirmed
- ✓Clinical evidence supporting the relationship between the complication and Crohn's disease
- ✓Treatment plan for the specific complication
Commonly Confused Codes
K50.819 — Crohn's disease of both sites with unspecified complications: complication not identifiedK50.811-K50.814 — Specific complication codes for both sites: use when the complication is standardK50.80 — Crohn's disease of both sites without complications: no complications presentK50.018 — Crohn's disease of small intestine with other complication: small intestine only
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└K50.818Crohn's disease of both small and large intestine with other complication
└K50.818Crohn's disease of both small and large intestine with other complication