K51.219
BillableUlcerative (chronic) proctitis with unspecified complications
HCC Category Mapping
V28HCC 81 — Ulcerative Colitis
0.000V24HCC 35 — Inflammatory Bowel Disease
0.289ESRDHCC 35 — Inflammatory Bowel Disease
0.000RxHCCHCC 67 — Inflammatory Bowel Disease
0.000What This Code Means
Chronic inflammation of the rectum with ulcers and complications that are not clearly specified or documented.
Coding Tips
- •This is a default code when complications are mentioned but not detailed
- •Query the provider if possible to obtain more specific complication information
Clinical Significance
Ulcerative proctitis with unspecified complications indicates complications are present but not clearly identified in the documentation. This code should trigger a provider query to determine the specific type of complication, as more precise coding improves clinical data quality and ensures appropriate risk capture.
Documentation Requirements
- ✓Confirmed ulcerative colitis limited to the rectum
- ✓Provider acknowledgment that complications are present
- ✓Documentation of provider query attempting to clarify the complication
- ✓Treatment plan addressing the proctitis and associated complications
- ✓Follow-up plan for complication monitoring
Commonly Confused Codes
K51.219 vs K51.218 — K51.218 is for known 'other' complications; K51.219 is when complication type is unknownK51.219 vs K51.211-K51.214 — Always use specific codes when the complication can be identifiedK51.219 vs K51.20 — K51.20 is without complications; do not default to the unspecified complication code
Code Hierarchy
└K51Ulcerative colitis└K51.2Ulcerative (chronic) proctitis└K51.21Ulcerative (chronic) proctitis with complications└K51.219Ulcerative (chronic) proctitis with unspecified complications
└K51.219Ulcerative (chronic) proctitis with unspecified complications