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K57.81

Billable

Diverticulitis of intestine, part unspecified, with perforation and abscess with bleeding

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

Inflammation of intestinal pouches with rupture, abscess formation, and bleeding in an unspecified part of the intestine.

Coding Tips

  • •This represents the most severe diverticulitis presentation with multiple complications; verify all three conditions are documented
  • •Ensure bleeding is explicitly mentioned in the clinical documentation to justify this code over K57.80

Code Hierarchy

└K57Diverticular disease of intestine└K57.8Diverticulitis of intestine, part unspecified, with perforation and abscess└K57.81Diverticulitis of intestine, part unspecified, with perforation and abscess with bleeding
└K57.81Diverticulitis of intestine, part unspecified, with perforation and abscess with bleeding

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