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K51.919

Billable

Ulcerative colitis, unspecified with unspecified complications

HCC Category Mapping

V28HCC 81Ulcerative Colitis
0.000
V24HCC 35Inflammatory Bowel Disease
0.289
ESRDHCC 35Inflammatory Bowel Disease
0.000
RxHCCHCC 67Inflammatory Bowel Disease
0.000

What This Code Means

Ulcerative colitis of unspecified extent with a complication that is not specified or identified.

Coding Tips

  • This is a last-resort code; always query the provider to identify the specific complication for more accurate coding.
  • Avoid using this code if the complication can be determined from clinical documentation.

Clinical Significance

Ulcerative colitis, unspecified, with unspecified complications is the least specific code in the ulcerative colitis category, lacking both anatomic extent and complication type. This code should be a last resort and always triggers provider queries for both the disease extent and the nature of complications, as more precise coding is almost always achievable.

Documentation Requirements

  • Confirmed ulcerative colitis diagnosis
  • Provider acknowledgment that complications exist
  • Documentation of dual provider queries: one for disease extent and one for complication type
  • Treatment plan addressing the colitis and complications
  • Plan for colonoscopy to determine disease extent if not already performed

Commonly Confused Codes

Code Hierarchy

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