K51.411
BillableInflammatory polyps of colon with rectal bleeding
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
Growths in the colon caused by inflammation that are causing bleeding from the rectum.
Coding Tips
- •Document the presence of rectal bleeding separately; this code captures both the inflammatory polyps and the bleeding complication
- •Verify whether bleeding is from the polyps themselves or from the underlying inflammatory condition to ensure accurate coding
Clinical Significance
Inflammatory polyps of the colon with rectal bleeding indicates that pseudopolyps associated with ulcerative colitis are accompanied by hemorrhagic symptoms. This combination captures both the chronic mucosal changes from prior inflammation and the active bleeding complication, which may require treatment escalation.
Documentation Requirements
- ✓Colonoscopy documenting inflammatory polyps
- ✓Documentation of rectal bleeding with frequency and severity
- ✓Provider attribution of bleeding to the inflammatory polyps or underlying colitis
- ✓Biopsy confirmation of inflammatory (non-neoplastic) polyp nature
- ✓Treatment plan addressing the bleeding
- ✓Hemoglobin levels if significant bleeding
Commonly Confused Codes
K51.411 vs K51.40 — K51.40 is without complications; use K51.411 when rectal bleeding is presentK51.411 vs K62.5 — K62.5 is hemorrhage of anus/rectum unrelated to inflammatory bowel diseaseK51.411 vs K51.011 — K51.011 is pancolitis with rectal bleeding; K51.411 specifically involves inflammatory polyps
Code Hierarchy
└K51Ulcerative colitis└K51.4Inflammatory polyps of colon└K51.41Inflammatory polyps of colon with complications└K51.411Inflammatory polyps of colon with rectal bleeding
└K51.411Inflammatory polyps of colon with rectal bleeding