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K56 ICD-10-CM Code: Paralytic ileus and intestinal obstruction without hernia

K56 is not a CMS-HCC payment code. MEAT criteria · RAF calculator · HCC Buddy coding tools

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

K56

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

Paralytic ileus and intestinal obstruction without hernia

Paralytic ileus and intestinal obstruction without hernia

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)
K56Paralytic ileus and intestinal obstruction without hernia

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for K56 in this effective period.

Excludes 2

Official
  • stenosis of anus or rectum (K62.4)

Related Child Codes

Official
K56.0Paralytic ileus
K56.1Intussusception
K56.2Volvulus
K56.3Gallstone ileus
K56.4Other impaction of intestine

Includes

Official

ICD-10-CM does not list Includes notes for K56 in this effective period.

Excludes 1

Official
  • congenital stricture or stenosis of intestine (Q41-Q42)
  • cystic fibrosis with meconium ileus (E84.11)
  • ischemic stricture of intestine (K55.1)
  • meconium ileus NOS (P76.0)
  • neonatal intestinal obstructions classifiable to P76.-

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for K56 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for K56 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for K56 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
K56
Description
Paralytic ileus and intestinal obstruction without hernia
HCC (V28)
No CMS-HCC V28 mapping
RAF
Billable
No
Payment year
2026

Coder workflow notes

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What This Code Means

K56 is the ICD-10-CM diagnosis code for paralytic ileus and intestinal obstruction without hernia. K56 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 K56 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 K56'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 K56 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

  • congenital stricture or stenosis of intestine (Q41-Q42)
  • cystic fibrosis with meconium ileus (E84.11)
  • ischemic stricture of intestine (K55.1)
  • meconium ileus NOS (P76.0)
  • neonatal intestinal obstructions classifiable to P76.-
  • obstruction of duodenum (K31.5)
  • postprocedural intestinal obstruction (K91.3-)

Excludes 2, Not included here, may code separately

  • stenosis of anus or rectum (K62.4)

Child Codes

Code Hierarchy

K56Paralytic ileus and intestinal obstruction without hernia
K56Paralytic ileus and intestinal obstruction without hernia

Work K56 in HCC Buddy

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