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K55 ICD-10-CM Code: Vascular disorders of intestine

K55 is not a CMS-HCC payment code. MEAT criteria · RAF calculator · free HCC coding tools

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FY 2026 Apr update / Diseases of the digestive system (K00-K95) / Other diseases of intestines (K55-K64)

K55

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Vascular disorders of intestine

Vascular disorders of intestine

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
K5Other diseases of intestines (K55-K64)
K55Vascular disorders of intestine

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for K55 in this effective period.

Excludes 2

Official
  • angioectasia (angiodysplasia) duodenum (K31.81-)

Related Child Codes

Official
K55.0Acute vascular disorders of intestine
K55.1Chronic vascular disorders of intestine
K55.2Angiodysplasia of colon
K55.3Necrotizing enterocolitis
K55.8Other vascular disorders of intestine

Includes

Official

ICD-10-CM does not list Includes notes for K55 in this effective period.

Excludes 1

Official
  • necrotizing enterocolitis of newborn (P77.-)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for K55 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for K55 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for K55 in this effective period.

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Code
K55
Description
Vascular disorders of intestine
HCC (V28)
No CMS-HCC V28 mapping
RAF
Billable
No
Payment year
2026

Coder workflow notes

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What This Code Means

K55 is the ICD-10-CM diagnosis code for vascular disorders of intestine. K55 sits in the ICD-10-CM chapter for diseases of the digestive system (k00-k95), within the section covering other diseases of intestines (k55-k64).

Header codes like K55 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at K55's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for K55 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

  • necrotizing enterocolitis of newborn (P77.-)

Excludes 2, Not included here, may code separately

  • angioectasia (angiodysplasia) duodenum (K31.81-)

Child Codes

Code Hierarchy

K55Vascular disorders of intestine
K55Vascular disorders of intestine

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