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K57 ICD-10-CM Code: Diverticular disease of intestine

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

K57

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

Diverticular disease of intestine

Diverticular disease of intestine

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
K5Other diseases of intestines (K55-K64)
K57Diverticular disease of intestine

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for K57 in this effective period.

Excludes 2

Official
  • diverticulum of appendix (K38.2)

Related Child Codes

Official
K57.0Diverticulitis of small intestine with perforation and abscess
K57.1Diverticular disease of small intestine without perforation or abscess
K57.2Diverticulitis of large intestine with perforation and abscess
K57.3Diverticular disease of large intestine without perforation or abscess
K57.4Diverticulitis of both small and large intestine with perforation and abscess

Includes

Official

ICD-10-CM does not list Includes notes for K57 in this effective period.

Excludes 1

Official
  • congenital diverticulum of intestine (Q43.8)
  • Meckel's diverticulum (Q43.0)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for K57 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for K57 in this effective period.

Code Also

Official
  • if applicable peritonitis K65.-

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

What This Code Means

K57 is the ICD-10-CM diagnosis code for diverticular disease of intestine. K57 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 K57 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 K57'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 K57 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 diverticulum of intestine (Q43.8)
  • Meckel's diverticulum (Q43.0)

Excludes 2, Not included here, may code separately

  • diverticulum of appendix (K38.2)

Code Also

  • if applicable peritonitis K65.-

Child Codes

Code Hierarchy

K57Diverticular disease of intestine
K57Diverticular disease of intestine

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