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K51 ICD-10-CM Code: Ulcerative colitis

ICD-10-CM Code View

HCC Buddy Code Card

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FY 2026 Apr update / Diseases of the digestive system (K00-K95) / Noninfective enteritis and colitis (K50-K52)

K51

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Ulcerative colitis

Ulcerative colitis

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
K5Noninfective enteritis and colitis (K50-K52)
K51Ulcerative colitis

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for K51 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for K51 in this effective period.

Related Child Codes

Official
K51.0Ulcerative (chronic) pancolitis
K51.2Ulcerative (chronic) proctitis
K51.3Ulcerative (chronic) rectosigmoiditis
K51.4Inflammatory polyps of colon
K51.5Left sided colitis

Includes

Official

ICD-10-CM does not list Includes notes for K51 in this effective period.

Excludes 1

Official
  • Crohn's disease [regional enteritis] (K50.-)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for K51 in this effective period.

Use Additional

Official
  • code to identify any associated fistulas, if applicable:
  • anal fistula (K60.3-)
  • anorectal fistula (K60.5-)
  • rectal fistula (K60.4-)

Code Also

Official

ICD-10-CM does not list Code Also instructions for K51 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Coder workflow notes

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What This Code Means

K51 is the ICD-10-CM diagnosis code for ulcerative colitis. K51 sits in the ICD-10-CM chapter for diseases of the digestive system (k00-k95), within the section covering noninfective enteritis and colitis (k50-k52).

Header codes like K51 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at K51's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for K51 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

  • Crohn's disease [regional enteritis] (K50.-)

Use Additional Code

  • code to identify any associated fistulas, if applicable:
  • anal fistula (K60.3-)
  • anorectal fistula (K60.5-)
  • rectal fistula (K60.4-)

Child Codes

Code Hierarchy

K51Ulcerative colitis
K51Ulcerative colitis

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