K51.319
BillableUlcerative (chronic) rectosigmoiditis 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 with ulcers in the rectum and sigmoid colon with complications that are not clearly specified or documented.
Coding Tips
- •This is a default code when complications are mentioned but details are unclear
- •Attempt to clarify the specific complication through provider query when possible
Clinical Significance
Ulcerative rectosigmoiditis with unspecified complications indicates the provider documented complications exist but did not specify the type. This code should prompt a provider query, as identifying the specific complication improves coding accuracy and clinical data integrity for risk adjustment.
Documentation Requirements
- ✓Confirmed ulcerative colitis of the rectum and sigmoid colon
- ✓Provider acknowledgment that complications exist
- ✓Documentation of provider query attempt to clarify complication type
- ✓Treatment plan addressing the colitis and complications
- ✓Disease activity level assessment
Commonly Confused Codes
Code Hierarchy
└K51Ulcerative colitis└K51.3Ulcerative (chronic) rectosigmoiditis└K51.31Ulcerative (chronic) rectosigmoiditis with complications└K51.319Ulcerative (chronic) rectosigmoiditis with unspecified complications
└K51.319Ulcerative (chronic) rectosigmoiditis with unspecified complications