K51.419
BillableInflammatory polyps of colon 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
Growths in the colon caused by inflammation with a complication that is not specified or clearly identified.
Coding Tips
- •Avoid using this code if the specific complication can be determined; query the provider for clarification when complications are mentioned but not specified
- •This code should be used only as a last resort when the complication is truly unspecified
Clinical Significance
Inflammatory polyps of the colon with unspecified complications indicates complications are present but the type is not clearly documented. This code should trigger a provider query, as specification of the complication type improves clinical data quality and ensures appropriate risk capture and clinical documentation.
Documentation Requirements
- ✓Colonoscopy documenting inflammatory polyps
- ✓Provider acknowledgment that complications are present
- ✓Documentation of provider query for complication clarification
- ✓Treatment plan addressing the colitis and complications
- ✓Disease activity assessment
Commonly Confused Codes
Code Hierarchy
└K51Ulcerative colitis└K51.4Inflammatory polyps of colon└K51.41Inflammatory polyps of colon with complications└K51.419Inflammatory polyps of colon with unspecified complications
└K51.419Inflammatory polyps of colon with unspecified complications