K50.919
BillableCrohn's disease, unspecified, with unspecified complications
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 unspecified location with complications that are present but not specifically identified or documented.
Coding Tips
- •This is a default code when complications exist but are not clearly specified
- •Query the provider to identify the specific complication for more accurate coding when possible
Clinical Significance
Crohn's disease, unspecified, with unspecified complications is the least specific code in the entire Crohn's disease family, with neither the disease location nor the complication type identified. This code represents a significant documentation deficiency and should always trigger provider queries for both site and complication clarification. It provides minimal clinical value while still contributing to risk adjustment in V24.
Documentation Requirements
- ✓Provider documentation of Crohn's disease with complications present
- ✓Documentation that neither the site nor the complication type could be determined
- ✓Evidence of attempted provider queries for clarification
- ✓Treatment plan that may provide clues about both location and complication
- ✓Documentation justifying why specificity could not be achieved
Commonly Confused Codes
K50.90 — Crohn's disease, unspecified, without complications: no complications presentK50.918 — Crohn's disease, unspecified, with other complication: complication IS identifiedK50.911-K50.914 — Specific complication codes: use when the complication type is knownK50.819 — Crohn's disease of both sites with unspecified complications: sites are specified
Code Hierarchy
└K50Crohn's disease [regional enteritis]└K50.9Crohn's disease, unspecified└K50.91Crohn's disease, unspecified, with complications└K50.919Crohn's disease, unspecified, with unspecified complications
└K50.919Crohn's disease, unspecified, with unspecified complications