ICD-10-CM (2010)/CHAPTER 11

CHAPTER 11

=Diseases of the digestive system (K00-K93)=

Excludes2: certain conditions originating in the perinatal period (P04-P96)

certain infectious and parasitic diseases (A00-B99)

complications of pregnancy, childbirth and the puerperium (O00-O99)

congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)

endocrine, nutritional and metabolic diseases (E00-E90)

injury, poisoning and certain other consequences of external causes (S00-T98)

neoplasms (C00-D48)

symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

This chapter contains the following blocks:

K00-K14 Diseases of oral cavity and salivary glands

K20-K31 Diseases of esophagus, stomach and duodenum

K35-K38 Diseases of appendix

K40-K46 Hernia

K50-K52 Noninfective enteritis and colitis

K55-K63 Other diseases of intestines

K65-K68 Diseases of peritoneum and retroperitoneum

K70-K77 Diseases of liver

K80-K87 Disorders of gallbladder, biliary tract and pancreas

K90-K94 Other diseases of the digestive system

Diseases of oral cavity and salivary glands (K00-K14)

K00 Disorders of tooth development and eruption

Excludes2: embedded and impacted teeth (K01.-)

K00.0 Anodontia

Hypodontia

Oligodontia

Excludes1: acquired absence of teeth (K08.1-)

K00.1 Supernumerary teeth

Distomolar

Fourth molar

Mesiodens

Paramolar

Supplementary teeth

Excludes2: supernumerary roots (K00.2)

K00.2 Abnormalities of size and form of teeth

Concrescence of teeth

Fusion of teeth

Gemination of teeth

Dens evaginatus

Dens in dente

Dens invaginatus

Enamel pearls

Macrodontia

Microdontia

Peg-shaped [conical] teeth

Supernumerary roots

Taurodontism

Tuberculum paramolare

Excludes1: abnormalities of teeth due to congenital syphilis (A50.5)

tuberculum Carabelli, which is regarded as a normal variation and should not be coded

K00.3 Mottled teeth

Dental fluorosis

Mottling of enamel

Nonfluoride enamel opacities

Excludes2: deposits [accretions] on teeth (K03.6)

K00.4 Disturbances in tooth formation

Aplasia and hypoplasia of cementum

Dilaceration of tooth

Enamel hypoplasia (neonatal) (postnatal) (prenatal)

Regional odontodysplasia

Turner's tooth

Excludes1: Hutchinson's teeth and mulberry molars in congenital syphilis (A50.5)

Excludes2: mottled teeth (K00.3)

K00.5 Hereditary disturbances in tooth structure, not elsewhere classified

Amelogenesis imperfecta

Dentinogenesis imperfecta

Odontogenesis imperfecta

Dentinal dysplasia

Shell teeth

K00.6 Disturbances in tooth eruption

Dentia praecox

Natal tooth

Neonatal tooth

Premature eruption of tooth

Premature shedding of primary [deciduous] tooth

Prenatal teeth

Retained [persistent] primary tooth

Excludes2: embedded and impacted teeth (K01.-)

K00.7 Teething syndrome

K00.8 Other disorders of tooth development

Color changes during tooth formation

Intrinsic staining of teeth NOS

Excludes2: posteruptive color changes (K03.7)

K00.9 Disorder of tooth development, unspecified

Disorder of odontogenesis NOS

K01 Embedded and impacted teeth

Excludes1: abnormal position of fully erupted teeth (M26.3-)

K01.0 Embedded teeth

K01.1 Impacted teeth

K02 Dental caries

Includes: dental cavities, tooth decay

K02.3 Arrested dental caries

Arrested coronal and root caries

K02.5 Dental caries on pit and fissure surface

Dental caries on chewing surface of tooth

K02.51 Dental caries on pit and fissure surface limited to enamel

White spot lesions [initial caries] on pit and fissure surface of tooth

K02.52 Dental caries on pit and fissure surface penetrating into dentin

K02.53 Dental caries on pit and fissure surface penetrating into pulp

K02.6 Dental caries on smooth surface

K02.61 Dental caries on smooth surface limited to enamel

White spot lesions [initial caries] on smooth surface of tooth

K02.62 Dental caries on smooth surface penetrating into dentin

K02.63 Dental caries on smooth surface penetrating into pulp

K02.7 Dental root caries

K02.9 Dental caries, unspecified

K03 Other diseases of hard tissues of teeth

Excludes2: bruxism (F45.8)

dental caries (K02.-)

teeth-grinding NOS (F45.8)

K03.0 Excessive attrition of teeth

Approximal wear of teeth

Occlusal wear of teeth

K03.1 Abrasion of teeth

Dentifrice abrasion of teeth

Habitual abrasion of teeth

Occupational abrasion of teeth

Ritual abrasion of teeth

Traditional abrasion of teeth

Wedge defect NOS

K03.2 Erosion of teeth

Erosion of teeth due to diet

Erosion of teeth due to drugs and medicaments

Erosion of teeth due to persistent vomiting

Erosion of teeth NOS

Idiopathic erosion of teeth

Occupational erosion of teeth

K03.3 Pathological resorption of teeth

Internal granuloma of pulp

Resorption of teeth (external)

K03.4 Hypercementosis

Cementation hyperplasia

K03.5 Ankylosis of teeth

K03.6 Deposits [accretions] on teeth

Betel deposits [accretions] on teeth

Black deposits [accretions] on teeth

Extrinsic staining of teeth NOS

Green deposits [accretions] on teeth

Materia alba deposits [accretions] on teeth

Orange deposits [accretions] on teeth

Staining of teeth NOS

Subgingival dental calculus

Supragingival dental calculus

Tobacco deposits [accretions] on teeth

K03.7 Posteruptive color changes of dental hard tissues

Excludes2: deposits [accretions] on teeth (K03.6)

K03.8 Other specified diseases of hard tissues of teeth

K03.81 Cracked tooth

Excludes1: asymptomatic craze lines in enamel - omit code

broken or fractured tooth due to trauma (S02.5)

K03.89 Other specified diseases of hard tissues of teeth

K03.9 Disease of hard tissues of teeth, unspecified

K04 Diseases of pulp and periapical tissues

K04.0 Pulpitis

Acute pulpitis

Chronic (hyperplastic) (ulcerative) pulpitis

Irreversible pulpitis

Reversible pulpitis

K04.1 Necrosis of pulp

Pulpal gangrene

K04.2 Pulp degeneration

Denticles

Pulpal calcifications

Pulpal stones

K04.3 Abnormal hard tissue formation in pulp

Secondary or irregular dentine

K04.4 Acute apical periodontitis of pulpal origin

Acute apical periodontitis NOS

Excludes1: acute periodontitis (K05.2-)

K04.5 Chronic apical periodontitis

Apical or periapical granuloma

Apical periodontitis NOS

Excludes1: chronic periodontitis (K05.3-)

K04.6 Periapical abscess with sinus

Dental abscess with sinus

Dentoalveolar abscess with sinus

K04.7 Periapical abscess without sinus

Dental abscess without sinus

Dentoalveolar abscess without sinus

Periapical abscess without sinus

K04.8 Radicular cyst

Apical (periodontal) cyst

Periapical cyst

Residual radicular cyst

Excludes2: lateral periodontal cyst (K09.0)

K04.9 Other and unspecified diseases of pulp and periapical tissues

K04.90 Unspecified diseases of pulp and periapical tissues

K04.99 Other diseases of pulp and periapical tissues

K05 Gingivitis and periodontal diseases

Use additional code to identify:

alcohol abuse and dependence (F10.-)

exposure to environmental tobacco smoke (Z77.22)

exposure to tobacco smoke in the perinatal period (P96.81)

history of tobacco use (Z87.891)

occupational exposure to environmental tobacco smoke (Z57.31)

tobacco dependence (F17.-)

tobacco use (Z72.0)

K05.0 Acute gingivitis

Excludes1: acute necrotizing ulcerative gingivitis (A69.1)

herpesviral [herpes simplex] gingivostomatitis (B00.2)

K05.00 Acute gingivitis, plaque induced

Acute gingivitis NOS

K05.01 Acute gingivitis, non-plaque induced

K05.1 Chronic gingivitis

Desquamative gingivitis (chronic)

Gingivitis (chronic) NOS

Hyperplastic gingivitis (chronic)

Simple marginal gingivitis (chronic)

Ulcerative gingivitis (chronic)

K05. 10 Chronic gingivitis, plaque induced

Chronic gingivitis NOS

Gingivitis NOS

K05.11 Chronic gingivitis, non-plaque induced

K05.2 Aggressive periodontitis

Acute pericoronitis

Excludes1: acute apical periodontitis (K04.4)

periapical abscess (K04.7)

periapical abscess with sinus (K04.6)

K05.20 Aggressive periodontitis, unspecified

K05.21 Aggressive periodontitis, localized

Periodontal abscess

K05.22 Aggressive periodontitis, generalized

K05.3 Chronic periodontitis

Chronic pericoronitis

Complex periodontitis

Periodontitis NOS

Simplex periodontitis

Excludes1: chronic apical periodontitis (K04.5)

K05.30 Chronic periodontitis, unspecified

K05.31 Chronic periodontitis, localized

K05.32 Chronic periodontitis, generalized

K05.4 Periodontosis

Juvenile periodontosis

K05.5 Other periodontal diseases

Excludes2: leukoplakia of gingiva (K13.21)

K05.6 Periodontal disease, unspecified

K06 Other disorders of gingiva and edentulous alveolar ridge

Excludes2: acute gingivitis (K05.0)

atrophy of edentulous alveolar ridge (K08.2)

chronic gingivitis (K05.1)

gingivitis NOS (K05.1)

K06.0 Gingival recession

Gingival recession (generalized) (localized) (postinfective) (postprocedural)

K06.1 Gingival enlargement

Gingival fibromatosis

K06.2 Gingival and edentulous alveolar ridge lesions associated with trauma

Irritative hyperplasia of edentulous ridge [denture hyperplasia]

Use additional code (Chapter 20) to identify external cause or denture status (Z97.2)

K06.8 Other specified disorders of gingiva and edentulous alveolar ridge

Fibrous epulis

Flabby alveolar ridge

Giant cell epulis

Peripheral giant cell granuloma of gingiva

Pyogenic granuloma of gingiva

Excludes2: gingival cyst (K09.0)

K06.9 Disorder of gingiva and edentulous alveolar ridge, unspecified

K08 Other disorders of teeth and supporting structures

Excludes2: dentofacial anomalies [including malocclusion] (M26.-)

disorders of jaw (M27.-)

K08.0 Exfoliation of teeth due to systemic causes

Code also underlying systemic condition

K08.1 Complete loss of teeth

Acquired loss of teeth, complete

Excludes1: congenital absence of teeth (K00.0)

exfoliation of teeth due to systemic causes (K08.0)

partial loss of teeth (K08.4-)

K08.10 Complete loss of teeth, unspecified cause

K08.101 Complete loss of teeth, unspecified cause, class I

K08.102 Complete loss of teeth, unspecified cause, class II

K08.103 Complete loss of teeth, unspecified cause, class III

K08.104 Complete loss of teeth, unspecified cause, class IV

K08.109 Complete loss of teeth, unspecified cause, unspecified class

Edentulism NOS

K08.11 Complete loss of teeth due to trauma

K08.111 Complete loss of teeth due to trauma, class I

K08.112 Complete loss of teeth due to trauma, class II

K08.113 Complete loss of teeth due to trauma, class III

K08.114 Complete loss of teeth due to trauma, class IV

K08.119 Complete loss of teeth due to trauma, unspecified class

K08.12 Complete loss of teeth due to periodontal diseases

K08.121 Complete loss of teeth due to periodontal diseases, class I

K08.122 Complete loss of teeth due to periodontal diseases, class II

K08.123 Complete loss of teeth due to periodontal diseases, class III

K08. 124 Complete loss of teeth due to periodontal diseases, class IV

K08.129 Complete loss of teeth due to periodontal diseases, unspecified class

K08.13 Complete loss of teeth due to caries

K08.131 Complete loss of teeth due to caries, class I

K08.132 Complete loss of teeth due to caries, class II

K08.133 Complete loss of teeth due to caries, class III

K08.134 Complete loss of teeth due to caries, class IV

K08.139 Complete loss of teeth due to caries, unspecified class

K08.19 Complete loss of teeth due to other specified cause

K08.191 Complete loss of teeth due to other specified cause, class I

K08.192 Complete loss of teeth due to other specified cause, class II

K08.193 Complete loss of teeth due to other specified cause, class III

K08.194 Complete loss of teeth due to other specified cause, class IV

K08.199 Complete loss of teeth due to other specified cause, unspecified class

K08.2 Atrophy of edentulous alveolar ridge

K08.20 Unspecified atrophy of edentulous alveolar ridge

Atrophy of the mandible NOS

Atrophy of the maxilla NOS

K08.21 Minimal atrophy of the mandible

Minimal atrophy of the edentulous mandible

K08.22 Moderate atrophy of the mandible

Moderate atrophy of the edentulous mandible

K08.23 Severe atrophy of the mandible

Severe atrophy of the edentulous mandible

K08.24 Minimal atrophy of maxilla

Minimal atrophy of the edentulous maxilla

K08.25 Moderate atrophy of the maxilla

Moderate atrophy of the edentulous maxilla

K08.26 Severe atrophy of the maxilla

Severe atrophy of the edentulous maxilla

K08.3 Retained dental root

K08.4 Partial loss of teeth

Acquired loss of teeth, partial

Excludes1: complete loss of teeth (K08.1-)

congenital absence of teeth (K00.0)

Excludes2: exfoliation of teeth due to systemic causes (K08.0)

K08.40 Partial loss of teeth, unspecified cause

K08.401 Partial loss of teeth, unspecified cause, class I

K08.402 Partial loss of teeth, unspecified cause, class II

K08.403 Partial loss of teeth, unspecified cause, class III

K08.404 Partial loss of teeth, unspecified cause, class IV

K08.409 Partial loss of teeth, unspecified cause, unspecified class

Tooth extraction status NOS

K08.41 Partial loss of teeth due to trauma

K08.411 Partial loss of teeth due to trauma, class I

K08.412 Partial loss of teeth due to trauma, class II

K08.413 Partial loss of teeth due to trauma, class III

K08.414 Partial loss of teeth due to trauma, class IV

K08.419 Partial loss of teeth due to trauma, unspecified class

K08.42 Partial loss of teeth due to periodontal diseases

K08.421 Partial loss of teeth due to periodontal diseases, class I

K08.422 Partial loss of teeth due to periodontal diseases, class II

K08.423 Partial loss of teeth due to periodontal diseases, class III

K08.424 Partial loss of teeth due to periodontal diseases, class IV

K08.429 Partial loss of teeth due to periodontal diseases, unspecified class

K08.43 Partial loss of teeth due to caries

K08.431 Partial loss of teeth due to caries, class I

K08.432 Partial loss of teeth due to caries, class II

K08.433 Partial loss of teeth due to caries, class III

K08.434 Partial loss of teeth due to caries, class IV

K08.439 Partial loss of teeth due to caries, unspecified class

K08.49 Partial loss of teeth due to other specified cause

K08.491 Partial loss of teeth due to other specified cause, class I

K08. 492 Partial loss of teeth due to other specified cause, class II

K08.493 Partial loss of teeth due to other specified cause, class III

K08.494 Partial loss of teeth due to other specified cause, class IV

K08.499 Partial loss of teeth due to other specified cause, unspecified class

K08.5 Unsatisfactory restoration of tooth

Defective bridge, crown, filling

Defective dental restoration

Excludes1: dental restoration status (Z98.811)

Excludes2: endosseous dental implant failure (M27.6-)

unsatisfactory endodontic treatment (M27.5-)

K08.50 Unsatisfactory restoration of tooth, unspecified

Defective dental restoration NOS

K08.51 Open restoration margins of tooth

Dental restoration failure of marginal integrity

Open margin on tooth restoration

Poor gingival margin to tooth restoration

K08.52 Unrepairable overhanging of dental restorative materials

Overhanging of tooth restoration

K08.53 Fractured dental restorative material

Excludes1: cracked tooth (K03.81)

traumatic fracture of tooth (S02.5)

K08.530 Fractured dental restorative material without loss of material

K08.531 Fractured dental restorative material with loss of material

K08.539 Fractured dental restorative material, unspecified

K08.54 Contour of existing restoration of tooth biologically incompatible with oral health

Dental restoration failure of periodontal anatomical integrity

Unacceptable contours of existing restoration of tooth

Unacceptable morphology of existing restoration of tooth

K08.55 Allergy to existing dental restorative material

Use additional code to identify the specific type of allergy

K08.56 Poor aesthetic of existing restoration of tooth

Dental restoration aesthetically inadequate or displeasing

K08.59 Other unsatisfactory restoration of tooth

Other defective dental restoration

K08.8 Other specified disorders of teeth and supporting structures

Enlargement of alveolar ridge NOS

Irregular alveolar process

Toothache NOS

K08.9 Disorder of teeth and supporting structures, unspecified

K09 Cysts of oral region, not elsewhere classified

Includes: lesions showing histological features both of aneurysmal cyst and of another fibro-osseous lesion

Excludes2: cysts of jaw (M27.0-, M27.4-)

radicular cyst (K04.8)

K09.0 Developmental odontogenic cysts

Excludes2: keratocysts D16.4, D16.5

odontogenic keratocystic tumors D16.4, D16.5

Dentigerous cyst

Eruption cyst

Follicular cyst

Gingival cyst

Lateral periodontal cyst

Primordial cyst

K09.1 Developmental (nonodontogenic) cysts of oral region

Cyst (of) incisive canal

Cyst (of) palatine of papilla

Globulomaxillary cyst

Median palatal cyst

Nasopalatine cyst

K09.8 Other cysts of oral region, not elsewhere classified

Dermoid cyst

Epidermoid cyst

Lymphoepithelial cyst

Epstein's pearl

Nasoalveolar cyst

Nasolabial cyst

K09.9 Cyst of oral region, unspecified

K11 Diseases of salivary glands

Use additional code to identify:

alcohol abuse and dependence (F10.-)

exposure to environmental tobacco smoke (Z77.22)

exposure to tobacco smoke in the perinatal period (P96.81)

history of tobacco use (Z87.891)

occupational exposure to environmental tobacco smoke (Z57.31)

tobacco dependence (F17.-)

tobacco use (Z72.0)

K11.0 Atrophy of salivary gland

K11.1 Hypertrophy of salivary gland

K11. 2 Sialoadenitis

Parotitis

Excludes1: epidemic parotitis (B26.-)

mumps (B26.-)

uveoparotid fever [Heerfordt] (D86.89)

K11.20 Sialoadentitis, unspecified

K11.21 Acute sialoadenitis

Excludes1: acute recurrent sialoadenitis (K11.22)

K11.22 Acute recurrent sialoadenitis

K11.23 Chronic sialoadenitis

K11.3 Abscess of salivary gland

K11.4 Fistula of salivary gland

Excludes1: congenital fistula of salivary gland (Q38.4)

K11.5 Sialolithiasis

Calculus of salivary gland or duct

Stone of salivary gland or duct

K11.6 Mucocele of salivary gland

Mucous extravasation cyst of salivary gland

Mucous retention cyst of salivary gland

Ranula

K11.7 Disturbances of salivary secretion

Hypoptyalism

Ptyalism

Xerostomia

Excludes2: dry mouth NOS (R68.2)

K11.8 Other diseases of salivary glands

Benign lymphoepithelial lesion of salivary gland

Mikulicz' disease

Necrotizing sialometaplasia

Sialectasia

Stenosis of salivary duct

Stricture of salivary duct

Excludes1: sicca syndrome [Sj?gren] (M35.0-)

K11.9 Disease of salivary gland, unspecified

Sialoadenopathy NOS

K12 Stomatitis and related lesions

Use additional code to identify:

alcohol abuse and dependence (F10.-)

exposure to environmental tobacco smoke (Z77.22)

exposure to tobacco smoke in the perinatal period (P96.81)

history of tobacco use (Z87.891)

occupational exposure to environmental tobacco smoke (Z57.31)

tobacco dependence (F17.-)

tobacco use (Z72.0)

Excludes1: cancrum oris (A69.0)

cheilitis (K13.0)

gangrenous stomatitis (A69.0)

herpesviral [herpes simplex] gingivostomatitis (B00.2)

noma (A69.0)

K12.0 Recurrent oral aphthae

Aphthous stomatitis (major) (minor)

Bednar's aphthae

Periadenitis mucosa necrotica recurrens

Recurrent aphthous ulcer

Stomatitis herpetiformis

K12.1 Other forms of stomatitis

Stomatitis NOS

Denture stomatitis

Ulcerative stomatitis

Vesicular stomatitis

Excludes1: acute necrotizing ulcerative stomatitis (A69.1)

Vincent's stomatitis (A69.1)

K12.2 Cellulitis and abscess of mouth

Cellulitis of mouth (floor)

Submandibular abscess

Excludes2: abscess of salivary gland (K11.3)

abscess of tongue (K14.0)

periapical abscess (K04.6-K04.7)

periodontal abscess (K05.21)

peritonsillar abscess (J36)

K12.3 Oral mucositis (ulcerative)

Mucositis (oral) (oropharyneal)

Excludes2: gastrointestinal mucositis (ulcerative) (K92.81)

mucositis (ulcerative) of vagina and vulva (N76.81)

nasal mucositis (ulcerative) (J34.81)

K12.30 Oral mucositis (ulcerative), unspecified

K12.31 Oral mucositis (ulcerative) due to antineoplastic therapy

Code also type of associated therapy, such as:

antineoplastic and immunosuppressive drugs (T45.1x-)

radiological procedure and radiotherapy (Y84.2)

K12.32 Oral mucositis (ulcerative) due to other drugs

Code also drug (T36-T50)

K12.33 Oral mucositis (ulcerative) due to radiation

Use additional external cause code (W88-W90, X39.0-) to identify cause

K12.39 Other oral mucositis (ulcerative)

Viral oral mucositis (ulcerative)

K13 Other diseases of lip and oral mucosa

Includes: epithelial disturbances of tongue

Use additional code to identify:

alcohol abuse and dependence (F10.-)

exposure to environmental tobacco smoke (Z77.22)

exposure to tobacco smoke in the perinatal period (P96.81)

history of tobacco use (Z87.891)

occupational exposure to environmental tobacco smoke (Z57.31)

tobacco dependence (F17.-)

tobacco use (Z72.0)

Excludes2: certain disorders of gingiva and edentulous alveolar ridge (K05-K06)

cysts of oral region (K09.-)

diseases of tongue (K14.-)

stomatitis and related lesions (K12.-)

K13.0 Diseases of lips

Abscess of lips

Angular cheilitis

Cellulitis of lips

Cheilitis NOS

Cheilodynia

Cheilosis

Exfoliative cheilitis

Fistula of lips

Glandular cheilitis

Hypertrophy of lips

Perl?che NEC

Excludes1: ariboflavinosis (E53.0)

cheilitis due to radiation-related disorders (L55-L59)

congenital fistula of lips (Q38.0)

congenital hypertrophy of lips (Q18.6)

perl?che due to candidiasis (B37.83)

perl?che due to riboflavin deficiency (E53.0)

K13.1 Cheek and lip biting

K13.2 Leukoplakia and other disturbances of oral epithelium, including tongue

Excludes1: carcinoma in situ of oral epithelium (D00.0-)

hairy leukoplakia (K13.3)

K13.21 Leukoplakia of oral mucosa, including tongue

Leukokeratosis of oral mucosa

Leukoplakia of gingiva, lips, tongue

Excludes1: hairy leukoplakia (K13.3)

leukokeratosis nicotina palati (K13.24)

K13.22 Minimal keratinized residual ridge mucosa

Minimal keratinization of alveolar ridge mucosa

K13.23 Excessive keratinized residual ridge mucosa

Excessive keratinization of alveolar ridge mucosa

K13.24 Leukokeratosis nicotina palati

Smoker's palate

K13.29 Other disturbances of oral epithelium, including tongue

Erythroplakia of mouth or tongue

Focal epithelial hyperplasia of mouth or tongue

Leukoedema of mouth or tongue

Other oral epithelium disturbances

K13.3 Hairy leukoplakia

K13.4 Granuloma and granuloma-like lesions of oral mucosa

Eosinophilic granuloma

Granuloma pyogenicum

Verrucous xanthoma

K13.5 Oral submucous fibrosis

Submucous fibrosis of tongue

K13.6 Irritative hyperplasia of oral mucosa

Excludes2: irritative hyperplasia of edentulous ridge [denture hyperplasia] (K06.2)

K13.7 Other and unspecified lesions of oral mucosa

K13.70 Unspecified lesions of oral mucosa

K13.79 Other lesions of oral mucosa

Focal oral mucinosis

K14 Diseases of tongue

Use additional code to identify:

alcohol abuse and dependence (F10.-)

exposure to environmental tobacco smoke (Z77.22)

history of tobacco use (Z87.891)

occupational exposure to environmental tobacco smoke (Z57.31)

tobacco dependence (F17.-)

tobacco use (Z72.0)

Excludes2: erythroplakia (K13.29)

focal epithelial hyperplasia (K13.29)

leukedema of tongue (K13.29)

leukoplakia of tongue (K13.21)

hairy leukoplakia (K13.3)

macroglossia (congenital) (Q38.2)

submucous fibrosis of tongue (K13.5)

K14.0 Glossitis

Abscess of tongue

Ulceration (traumatic) of tongue

Excludes1: atrophic glossitis (K14.4)

K14.1 Geographic tongue

Benign migratory glossitis

Glossitis areata exfoliativa

K14.2 Median rhomboid glossitis

K14.3 Hypertrophy of tongue papillae

Black hairy tongue

Coated tongue

Hypertrophy of foliate papillae

Lingua villosa nigra

K14.4 Atrophy of tongue papillae

Atrophic glossitis

K14.5 Plicated tongue

Fissured tongue

Furrowed tongue

Scrotal tongue

Excludes1: fissured tongue, congenital (Q38.3)

K14.6 Glossodynia

Glossopyrosis

Painful tongue

K14.8 Other diseases of tongue

Atrophy of tongue

Crenated tongue

Enlargement of tongue

Glossocele

Glossoptosis

Hypertrophy of tongue

K14.9 Disease of tongue, unspecified

Glossopathy NOS

Diseases of esophagus, stomach and duodenum (K20-K31)

Excludes2: hiatus hernia (K44.-)

K20 Esophagitis

Use additional code to identify:

alcohol abuse and dependence (F10.-)

Excludes1: erosion of esophagus (K22.1-)

esophagitis with gastro-esophageal reflux disease (K21.0)

reflux esophagitis (K21.0)

ulcerative esophagitis (K22.1-)

Excludes2: eosinophilic gastritis or gastroenteritis (K52.81)

K20.0 Eosinophilic esophagitis

K20.8 Other esophagitis

Abscess of esophagus

K20.9 Esophagitis, unspecified

Esophagitis NOS

K21 Gastro-esophageal reflux disease

Excludes1: newborn esophageal reflux (P78.83)

K21.0 Gastro-esophageal reflux disease with esophagitis

Reflux esophagitis

K21.9 Gastro-esophageal reflux disease without esophagitis

Esophageal reflux NOS

K22 Other diseases of esophagus

Excludes2: esophageal varices (I85.-)

K22.0 Achalasia of cardia

Achalasia NOS

Cardiospasm

Excludes1: congenital cardiospasm (Q39.5)

K22.1 Ulcer of esophagus

Barrett's ulcer

Erosion of esophagus

Fungal ulcer of esophagus

Peptic ulcer of esophagus

Ulcer of esophagus due to ingestion of chemicals

Ulcer of esophagus due to ingestion of drugs and medicaments

Ulcerative esophagitis

Code first (T36-T65) to identify drug or chemical

Excludes1: Barrett's esophagus (K22.81)

K22.10 Ulcer of esophagus without bleeding

Ulcer of esophagus NOS

K22.11 Ulcer of esophagus with bleeding

Excludes2: bleeding esophageal varices (I85.01, I85.11)

K22.2 Esophageal obstruction

Compression of esophagus

Constriction of esophagus

Stenosis of esophagus

Stricture of esophagus

Excludes1: congenital stenosis or stricture of esophagus (Q39.3)

K22.3 Perforation of esophagus

Rupture of esophagus

Excludes1: traumatic perforation of (thoracic) esophagus (S27.8-)

K22.4 Dyskinesia of esophagus

Corkscrew esophagus

Diffuse esophageal spasm

Spasm of esophagus

Excludes1: cardiospasm (K22.0)

K22.5 Diverticulum of esophagus, acquired

Esophageal pouch, acquired

Excludes1: diverticulum of esophagus (congenital) (Q39.6)

K22.6 Gastro-esophageal laceration-hemorrhage syndrome

Mallory-Weiss syndrome

K22.7 Barrett's esophagus

Barrett's disease

Barrett's syndrome

Excludes1: Barrett's ulcer (K22.1)

malignant neoplasm of esophagus (C15.-)

K22.70 Barrett's esophagus without dysplasia

Barrett's esophagus NOS

K22.71 Barrett's esophagus with dysplasia

K22. 710 Barrett's esophagus with low grade dysplasia

K22.711 Barrett's esophagus with high grade dysplasia

K22.719 Barrett's esophagus with dysplasia, unspecified

K22.8 Other specified diseases of esophagus

Hemorrhage of esophagus NOS

Excludes2: esophageal varices (I85.-)

Paterson-Kelly syndrome (D50.1)

K22.9 Disease of esophagus, unspecified

K23 Disorders of esophagus in diseases classified elsewhere

Code first underlying disease, such as:

congenital syphilis (A50.5)

Excludes1: late syphilis (A52.79)

megaesophagus due to Chagas' disease (B57.31)

tuberculosis (A18.83)

K25 Gastric ulcer

Includes: erosion (acute) of stomach

pylorus ulcer (peptic)

stomach ulcer (peptic)

Use additional code to identify:

alcohol abuse and dependence (F10.-)

Excludes1: acute gastritis (K29.0-)

peptic ulcer NOS (K27.-)

K25.0 Acute gastric ulcer with hemorrhage

K25.1 Acute gastric ulcer with perforation

K25.2 Acute gastric ulcer with both hemorrhage and perforation

K25.3 Acute gastric ulcer without hemorrhage or perforation

K25.4 Chronic or unspecified gastric ulcer with hemorrhage

K25.5 Chronic or unspecified gastric ulcer with perforation

K25.6 Chronic or unspecified gastric ulcer with both hemorrhage and perforation

K25.7 Chronic gastric ulcer without hemorrhage or perforation

K25.9 Gastric ulcer, unspecified as acute or chronic, without hemorrhage or perforation

K26 Duodenal ulcer

Includes: erosion (acute) of duodenum

duodenum ulcer (peptic)

postpyloric ulcer (peptic)

Use additional code to identify:

alcohol abuse and dependence (F10.-)

Excludes1: peptic ulcer NOS (K27.-)

K26.0 Acute duodenal ulcer with hemorrhage

K26.1 Acute duodenal ulcer with perforation

K26.2 Acute duodenal ulcer with both hemorrhage and perforation

K26.3 Acute duodenal ulcer without hemorrhage or perforation

K26. 4 Chronic or unspecified duodenal ulcer with hemorrhage

K26.5 Chronic or unspecified duodenal ulcer with perforation

K26.6 Chronic or unspecified duodenal ulcer with both hemorrhage and perforation

K26.7 Chronic duodenal ulcer without hemorrhage or perforation

K26.9 Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation

K27 Peptic ulcer, site unspecified

Includes: gastroduodenal ulcer NOS

peptic ulcer NOS

Use additional code to identify:

alcohol abuse and dependence (F10.-)

Excludes1: peptic ulcer of newborn (P78.82)

K27.0 Acute peptic ulcer, site unspecified, with hemorrhage

K27.1 Acute peptic ulcer, site unspecified, with perforation

K27.2 Acute peptic ulcer, site unspecified, with both hemorrhage and perforation

K27.3 Acute peptic ulcer, site unspecified, without hemorrhage or perforation

K27.4 Chronic or unspecified peptic ulcer, site unspecified, with hemorrhage

K27.5 Chronic or unspecified peptic ulcer, site unspecified, with perforation

K27.6 Chronic or unspecified peptic ulcer, site unspecified, with both hemorrhage and perforation

K27.7 Chronic peptic ulcer, site unspecified, without hemorrhage or perforation

K27.9 Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation

K28 Gastrojejunal ulcer

Includes: anastomotic ulcer (peptic) or erosion

gastrocolic ulcer (peptic) or erosion

gastrointestinal ulcer (peptic) or erosion

gastrojejunal ulcer (peptic) or erosion

jejunal ulcer (peptic) or erosion

marginal ulcer (peptic) or erosion

stomal ulcer (peptic) or erosion

Use additional code to identify:

alcohol abuse and dependence (F10.-)

Excludes1: primary ulcer of small intestine (K63.3)

K28.0 Acute gastrojejunal ulcer with hemorrhage

K28.1 Acute gastrojejunal ulcer with perforation

K28.2 Acute gastrojejunal ulcer with both hemorrhage and perforation

K28.3 Acute gastrojejunal ulcer without hemorrhage or perforation

K28. 4 Chronic or unspecified gastrojejunal ulcer with hemorrhage

K28.5 Chronic or unspecified gastrojejunal ulcer with perforation

K28.6 Chronic or unspecified gastrojejunal ulcer with both hemorrhage and perforation

K28.7 Chronic gastrojejunal ulcer without hemorrhage or perforation

K28.9 Gastrojejunal ulcer, unspecified as acute or chronic, without hemorrhage or perforation

K29 Gastritis and duodenitis

Excludes1: eosinophilic gastritis or gastroenteritis (K52.81)

Zollinger-Ellison syndrome (E16.4)

K29.0 Acute gastritis

Use additional code to identify:

alcohol abuse and dependence (F10.-)

Excludes1: erosion (acute) of stomach (K25.-)

K29.00 Acute gastritis without bleeding

K29.01 Acute gastritis with bleeding

K29.2 Alcoholic gastritis

Use additional code to identify:

alcohol abuse and dependence (F10.-)

K29.20 Alcoholic gastritis without bleeding

K29.21 Alcoholic gastritis with bleeding

K29.3 Chronic superficial gastritis

K29.30 Chronic superficial gastritis without bleeding

K29.31 Chronic superficial gastritis with bleeding

K29.4 Chronic atrophic gastritis

Gastric atrophy

K29.40 Chronic atrophic gastritis without bleeding

K29.41 Chronic atrophic gastritis with bleeding

K29.5 Unspecified chronic gastritis

Chronic antral gastritis

Chronic fundal gastritis

K29.50 Unspecified chronic gastritis without bleeding

K29.51 Unspecified chronic gastritis with bleeding

K29.6 Other gastritis

Giant hypertrophic gastritis

Granulomatous gastritis

Ménétrier's disease

K29.60 Other gastritis without bleeding

K29.61 Other gastritis with bleeding

K29.7 Gastritis, unspecified

K29.70 Gastritis, unspecified, without bleeding

K29.71 Gastritis, unspecified, with bleeding

K29.8 Duodenitis

K29.80 Duodenitis without bleeding

K29.81 Duodenitis with bleeding

K29.9 Gastroduodenitis, unspecified

K29. 90 Gastroduodenitis, unspecified, without bleeding

K29.91 Gastroduodenitis, unspecified, with bleeding

K30 Dyspepsia

Includes: indigestion

Excludes1: heartburn (R12)

nervous dyspepsia (F45.8)

neurotic dyspepsia (F45.8)

psychogenic dyspepsia (F45.8)

K31 Other diseases of stomach and duodenum

Includes: functional disorders of stomach

Excludes2: diabetic gastroparesis (E08.43, E09.43, E10.43, E11.43, E13.43)

diverticulum of duodenum (K57.00-K57.11)

K31.0 Acute dilatation of stomach

Acute distention of stomach

K31.1 Adult hypertrophic pyloric stenosis

Pyloric stenosis NOS

Excludes1: congenital or infantile pyloric stenosis (Q40.0)

K31.2 Hourglass stricture and stenosis of stomach

Excludes1: congenital hourglass stomach (Q40.2)

hourglass contraction of stomach (K31.89)

K31.3 Pylorospasm, not elsewhere classified

Excludes1: congenital or infantile pylorospasm (Q40.0)

neurotic pylorospasm (F45.8)

psychogenic pylorospasm (F45.8)

K31.4 Gastric diverticulum

Excludes1: congenital diverticulum of stomach (Q40.2)

K31.5 Obstruction of duodenum

Constriction of duodenum

Duodenal ileus (chronic)

Stenosis of duodenum

Stricture of duodenum

Volvulus of duodenum

Excludes1: congenital stenosis of duodenum (Q41.0)

K31.6 Fistula of stomach and duodenum

Gastrocolic fistula

Gastrojejunocolic fistula

K31.7 Polyp of stomach and duodenum

Excludes1: adenomatous polyp of stomach (D13.1)

K31.8 Other specified diseases of stomach and duodenum

K31.81 Angiodysplasia of stomach and duodenum

K31.811 Angiodysplasia of stomach and duodenum with bleeding

K31.819 Angiodysplasia of stomach and duodenum without bleeding

Angiodysplasia of stomach and duodenum NOS

K31.82 Dieulafoy lesion (hemorrhagic) of stomach and duodenum

Excludes2: Dieulafoy lesion of intestine (K63.81)

K31.83 Achlorhydria

K31.89 Other diseases of stomach and duodenum

K31.9 Disease of stomach and duodenum, unspecified

Diseases of appendix (K35-K38)

K35 Acute appendicitis

K35.2 Acute appendicitis with generalized peritonitis

Appendicitis (acute) with generalized (diffuse) peritonitis following rupture or perforation of appendix

Appendicitis with peritonitis NOS

Perforated appendix NOS

Ruptured appendix NOS

K35.3 Acute appendicitis with localized peritonitis

Acute appendicitis with localized peritonitis with or without rupture or perforation of appendix

Acute appendicitis with peritoneal abscess

K35.8 Other and unspecified acute appendicitis

K35.80 Unspecified acute appendicitis

Acute appendicitis NOS

Acute appendicitis without (localized) (generalized) peritonitis

K35.89 Other acute appendicitis

K36 Other appendicitis

Includes: chronic appendicitis

recurrent appendicitis

K37 Unspecified appendicitis

Excludes1:-unspecified appendicitis with peritonitis (K35.2-K35.3)

K38 Other diseases of appendix

K38.0 Hyperplasia of appendix

K38.1 Appendicular concretions

Fecalith of appendix

Stercolith of appendix

K38.2 Diverticulum of appendix

K38.3 Fistula of appendix

K38.8 Other specified diseases of appendix

Intussusception of appendix

K38.9 Disease of appendix, unspecified

Hernia ( K40-K46)

Note: Hernia with both gangrene and obstruction is classified to hernia with gangrene.

Includes: acquired hernia

congenital [except diaphragmatic or hiatus] hernia

recurrent hernia

K40 Inguinal hernia

Includes: bubonocele

direct inguinal hernia

double inguinal hernia

indirect inguinal hernia

inguinal hernia NOS

oblique inguinal hernia

scrotal hernia

K40.0 Bilateral inguinal hernia, with obstruction, without gangrene

Inguinal hernia (bilateral) causing obstruction without gangrene

Incarcerated inguinal hernia (bilateral) without gangrene

Irreducible inguinal hernia (bilateral) without gangrene

Strangulated inguinal hernia (bilateral) without gangrene

K40.00 Bilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent

Bilateral inguinal hernia, with obstruction, without gangrene NOS

K40.01 Bilateral inguinal hernia, with obstruction, without gangrene, recurrent

K40.1 Bilateral inguinal hernia, with gangrene

K40.10 Bilateral inguinal hernia, with gangrene, not specified as recurrent

Bilateral inguinal hernia, with gangrene NOS

K40.11 Bilateral inguinal hernia, with gangrene, recurrent

K40.2 Bilateral inguinal hernia, without obstruction or gangrene

K40.20 Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent

Bilateral inguinal hernia NOS

K40.21 Bilateral inguinal hernia, without obstruction or gangrene, recurrent

K40.3 Unilateral inguinal hernia, with obstruction, without gangrene

Inguinal hernia (unilateral) causing obstruction without gangrene

Incarcerated inguinal hernia (unilateral) without gangrene

Irreducible inguinal hernia (unilateral) without gangrene

Strangulated inguinal hernia (unilateral) without gangrene

K40.30 Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent

Inguinal hernia, with obstruction NOS

Unilateral inguinal hernia, with obstruction, without gangrene NOS

K40. 31 Unilateral inguinal hernia, with obstruction, without gangrene, recurrent

K40.4 Unilateral inguinal hernia, with gangrene

K40.40 Unilateral inguinal hernia, with gangrene, not specified as recurrent

Inguinal hernia with gangrene NOS

Unilateral inguinal hernia with gangrene NOS

K40.41 Unilateral inguinal hernia, with gangrene, recurrent

K40.9 Unilateral inguinal hernia, without obstruction or gangrene

K40.90 Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent

Inguinal hernia NOS

Unilateral inguinal hernia NOS

K40.91 Unilateral inguinal hernia, without obstruction or gangrene, recurrent

K41 Femoral hernia

K41.0 Bilateral femoral hernia, with obstruction, without gangrene

Femoral hernia (bilateral) causing obstruction, without gangrene

Incarcerated femoral hernia (bilateral), without gangrene

Irreducible femoral hernia (bilateral), without gangrene

Strangulated femoral hernia (bilateral), without gangrene

K41.00 Bilateral femoral hernia, with obstruction, without gangrene, not specified as recurrent

Bilateral femoral hernia, with obstruction, without gangrene NOS

K41.01 Bilateral femoral hernia, with obstruction, without gangrene, recurrent

K41.1 Bilateral femoral hernia, with gangrene

K41.10 Bilateral femoral hernia, with gangrene, not specified as recurrent

Bilateral femoral hernia, with gangrene NOS

K41.11 Bilateral femoral hernia, with gangrene, recurrent

K41.2 Bilateral femoral hernia, without obstruction or gangrene

K41.20 Bilateral femoral hernia, without obstruction or gangrene, not specified as recurrent

Bilateral femoral hernia NOS

K41.21 Bilateral femoral hernia, without obstruction or gangrene, recurrent

K41.3 Unilateral femoral hernia, with obstruction, without gangrene

Femoral hernia (unilateral) causing obstruction, without gangrene

Incarcerated femoral hernia (unilateral), without gangrene

Irreducible femoral hernia (unilateral), without gangrene

Strangulated femoral hernia (unilateral), without gangrene

K41.30 Unilateral femoral hernia, with obstruction, without gangrene, not specified as recurrent

Femoral hernia, with obstruction NOS

Unilateral femoral hernia, with obstruction NOS

K41.31 Unilateral femoral hernia, with obstruction, without gangrene, recurrent

K41.4 Unilateral femoral hernia, with gangrene

K41.40 Unilateral femoral hernia, with gangrene, not specified as recurrent

Femoral hernia, with gangrene NOS

Unilateral femoral hernia, with gangrene NOS

K41.41 Unilateral femoral hernia, with gangrene, recurrent

K41.9 Unilateral femoral hernia, without obstruction or gangrene

K41.90 Unilateral femoral hernia, without obstruction or gangrene, not specified as recurrent

Femoral hernia NOS

Unilateral femoral hernia NOS

K41.91 Unilateral femoral hernia, without obstruction or gangrene, recurrent

K42 Umbilical hernia

Includes: paraumbilical hernia

Excludes1: omphalocele (Q79.2)

K42.0 Umbilical hernia with obstruction, without gangrene

Umbilical hernia causing obstruction, without gangrene

Incarcerated umbilical hernia, without gangrene

Irreducible umbilical hernia, without gangrene

Strangulated umbilical hernia, without gangrene

K42.1 Umbilical hernia with gangrene

Gangrenous umbilical hernia

K42.9 Umbilical hernia without obstruction or gangrene

Umbilical hernia NOS

K43 Ventral hernia

K43.0 Ventral hernia with obstruction, without gangrene

Ventral hernia causing obstruction, without gangrene

Incarcerated ventral hernia, without gangrene

Irreducible ventral hernia, without gangrene

Strangulated ventral hernia, without gangrene

K43.00 Ventral hernia, unspecified, with obstruction, without gangrene

K43.01 Incisional hernia, with obstruction, without gangrene

K43.09 Other ventral hernia, with obstruction, without gangrene

Epigastric hernia

K43.1 Ventral hernia with gangrene

Gangrenous ventral hernia

K43.10 Ventral hernia, unspecified, with gangrene

K43.11 Incisional hernia, with gangrene

K43.19 Other ventral hernia, with gangrene

Epigastric hernia

K43.9 Ventral hernia without obstruction or gangrene

K43.90 Ventral hernia, unspecified, without obstruction or gangrene

Ventral hernia NOS

K43.91 Incisional hernia, without obstruction or gangrene

K43.99 Other ventral hernia, without obstruction or gangrene

Epigastric hernia

K44 Diaphragmatic hernia

Includes: hiatus hernia (esophageal) (sliding)

paraesophageal hernia

Excludes1: congenital diaphragmatic hernia (Q79.0)

congenital hiatus hernia (Q40.1)

K44.0 Diaphragmatic hernia with obstruction, without gangrene

Diaphragmatic hernia causing obstruction

Incarcerated diaphragmatic hernia

Irreducible diaphragmatic hernia

Strangulated diaphragmatic hernia

K44.1 Diaphragmatic hernia with gangrene

Gangrenous diaphragmatic hernia

K44.9 Diaphragmatic hernia without obstruction or gangrene

Diaphragmatic hernia NOS

K45 Other abdominal hernia

Includes: abdominal hernia, specified site NEC

lumbar hernia

obturator hernia

pudendal hernia

retroperitoneal hernia

sciatic hernia

K45.0 Other specified abdominal hernia with obstruction, without gangrene

Other specified abdominal hernia causing obstruction

Other specified incarcerated abdominal hernia

Other specified irreducible abdominal hernia

Other specified strangulated abdominal hernia

Excludes2: hernia due to adhesions with obstruction (K56.5)

K45.1 Other specified abdominal hernia with gangrene

Any condition listed under K45 specified as gangrenous

K45.8 Other specified abdominal hernia without obstruction or gangrene

K46 Unspecified abdominal hernia

Includes: enterocele

epiplocele

hernia NOS

interstitial hernia

intestinal hernia

intra-abdominal hernia

Excludes1: vaginal enterocele (N81.5)

K46.0 Unspecified abdominal hernia with obstruction, without gangrene

Unspecified abdominal hernia causing obstruction

Unspecified incarcerated abdominal hernia

Unspecified irreducible abdominal hernia

Unspecified strangulated abdominal hernia

K46.1 Unspecified abdominal hernia with gangrene

Any condition listed under K46 specified as gangrenous

K46.9 Unspecified abdominal hernia without obstruction or gangrene

Abdominal hernia NOS

Noninfective enteritis and colitis (K50-K52)

Includes: noninfective inflammatory bowel disease

Excludes1: irritable bowel syndrome (K58.-)

megacolon (K59.3)

K50 Crohn's disease [regional enteritis]

Includes: granulomatous enteritis

Excludes1: ulcerative colitis (K51.-)

Use additional code to identify manifestations, such as:

pyoderma gangrenosum (L88)

K50.0 Crohn's disease of small intestine

Crohn's disease [regional enteritis] of duodenum

Crohn's disease [regional enteritis] of ileum

Crohn's disease [regional enteritis] of jejunum

Regional ileitis

Terminal ileitis

Excludes1: Crohn's disease of both small and large intestine (K50.8-)

K50.00 Crohn's disease of small intestine without complications

K50.01 Crohn's disease of small intestine with complications

K50.011 Crohn's disease of small intestine with rectal bleeding

K50.012 Crohn's disease of small intestine with intestinal obstruction

K50.013 Crohn's disease of small intestine with fistula

K50.014 Crohn's disease of small intestine with abscess

K50.018 Crohn's disease of small intestine with other complication

K50. 019 Crohn's disease of small intestine with unspecified complications

K50.1 Crohn's disease of large intestine

Crohn's disease [regional enteritis] of colon

Crohn's disease [regional enteritis] of large bowel

Crohn's disease [regional enteritis] of rectum

Granulomatous colitis

Regional colitis

Excludes1: Crohn's disease of both small and large intestine (K50.8)

K50.10 Crohn's disease of large intestine without complications

K50.11 Crohn's disease of large intestine with complications

K50.111 Crohn's disease of large intestine with rectal bleeding

K50.112 Crohn's disease of large intestine with intestinal obstruction

K50.113 Crohn's disease of large intestine with fistula

K50.114 Crohn's disease of large intestine with abscess

K50.118 Crohn's disease of large intestine with other complication

K50.119 Crohn's disease of large intestine with unspecified complications

K50.8 Crohn's disease of both small and large intestine

K50.80 Crohn's disease of both small and large intestine without complications

K50.81 Crohn's disease of both small and large intestine with complications

K50.811 Crohn's disease of both small and large intestine with rectal bleeding

K50.812 Crohn's disease of both small and large intestine with intestinal obstruction

K50.813 Crohn's disease of both small and large intestine with fistula

K50.814 Crohn's disease of both small and large intestine with abscess

K50.818 Crohn's disease of both small and large intestine with other complication

K50.819 Crohn's disease of both small and large intestine with unspecified complications

K50.9 Crohn's disease, unspecified

K50.90 Crohn's disease, unspecified, without complications

Crohn's disease NOS

Regional enteritis NOS

K50. 91 Crohn's disease, unspecified, with complications

K50.911 Crohn's disease, unspecified, with rectal bleeding

K50.912 Crohn's disease, unspecified, with intestinal obstruction

K50.913 Crohn's disease, unspecified, with fistula

K50.914 Crohn's disease, unspecified, with abscess

K50.918 Crohn's disease, unspecified, with other complication

K50.919 Crohn's disease, unspecified, with unspecified complications

K51 Ulcerative colitis

Use additional code to identify manifestations, such as:

pyoderma gangrenosum (L88)

Excludes1: Crohn?s disease [regional enteritis] (K50.-)

K51.0 Ulcerative (chronic) pancolitis

Backwash ileitis

K51.00 Ulcerative (chronic) pancolitis without complications

Ulcerative (chronic) panocolitis NOS

K51.01 Ulcerative (chronic) panocolitis with complications

K51.011 Ulcerative (chronic) pancolitis with rectal bleeding

K51.012 Ulcerative (chronic) pancolitis with intestinal obstruction

K51.013 Ulcerative (chronic) pancolitis with fistula

K51.014 Ulcerative (chronic) panocolitis with abscess

K51.018 Ulcerative (chronic) pancolitis with other complication

K51.019 Ulcerative (chronic) panocolitis with unspecified complications

K51.2 Ulcerative (chronic) proctitis

K51.20 Ulcerative (chronic) proctitis without complications

Ulcerative (chronic) proctitis NOS

K51.21 Ulcerative (chronic) proctitis with complications

K51.211 Ulcerative (chronic) proctitis with rectal bleeding

K51.212 Ulcerative (chronic) proctitis with intestinal obstruction

K51.213 Ulcerative (chronic) proctitis with fistula

K51.214 Ulcerative (chronic) proctitis with abscess

K51.218 Ulcerative (chronic) proctitis with other complication

K51. 219 Ulcerative (chronic) proctitis with unspecified complications

K51.3 Ulcerative (chronic) rectosigmoiditis

K51.30 Ulcerative (chronic) rectosigmoiditis without complications

Ulcerative (chronic) rectosigmoiditis NOS

K51.31 Ulcerative (chronic) rectosigmoiditis with complications

K51.311 Ulcerative (chronic) rectosigmoiditis with rectal bleeding

K51.312 Ulcerative (chronic) rectosigmoiditis with intestinal obstruction

K51.313 Ulcerative (chronic) rectosigmoiditis with fistula

K51.314 Ulcerative (chronic) rectosigmoiditis with abscess

K51.318 Ulcerative (chronic) rectosigmoiditis with other complication

K51.319 Ulcerative (chronic) rectosigmoiditis with unspecified complications

K51.4 Inflammatory polyps of colon

Excludes1: adenomatous polyp of colon (D12.6)

polyposis of colon (D12.6)

polyps of colon NOS (K63.5)

K51.40 Inflammatory polyps of colon without complications

Inflammatory polyps of colon NOS

K51.41 Inflammatory polyps of colon with complications

K51.411 Inflammatory polyps of colon with rectal bleeding

K51.412 Inflammatory polyps of colon with intestinal obstruction

K51.413 Inflammatory polyps of colon with fistula

K51.414 Inflammatory polyps of colon with abscess

K51.418 Inflammatory polyps of colon with other complication

K51.419 Inflammatory polyps of colon with unspecified complications

K51.5 Left sided colitis

Left hemicolitis

K51.50 Left sided colitis without complications

Left sided colitis NOS

K51.51 Left sided colitis with complications

K51.511 Left sided colitis with rectal bleeding

K51.512 Left sided colitis with intestinal obstruction

K51.513 Left sided colitis with fistula

K51. 514 Left sided colitis with abscess

K51.518 Left sided colitis with other complication

K51.519 Left sided colitis with unspecified complications

K51.8 Other ulcerative colitis

K51.80 Other ulcerative colitis without complications

K51.81 Other ulcerative colitis with complications

K51.811 Other ulcerative colitis with rectal bleeding

K51.812 Other ulcerative colitis with intestinal obstruction

K51.813 Other ulcerative colitis with fistula

K51.814 Other ulcerative colitis with abscess

K51.818 Other ulcerative colitis with other complication

K51.819 Other ulcerative colitis with unspecified complications

K51.9 Ulcerative colitis, unspecified

K51.90 Ulcerative colitis, unspecified, without complications

K51.91 Ulcerative colitis, unspecified, with complications

K51.911 Ulcerative colitis, unspecified with rectal bleeding

K51.912 Ulcerative colitis, unspecified with intestinal obstruction

K51.913 Ulcerative colitis, unspecified with fistula

K51.914 Ulcerative colitis, unspecified with abscess

K51.918 Ulcerative colitis, unspecified with other complication

K51.919 Ulcerative colitis, unspecified with unspecified complications

K52 Other and unspecified noninfective gastroenteritis and colitis

K52.0 Gastroenteritis and colitis due to radiation

K52.1 Toxic gastroenteritis and colitis

Code first (T51-T65) to identify toxic agent.

K52.2 Allergic and dietetic gastroenteritis and colitis

Food hypersensitivity gastroenteritis or colitis

Use additional code to identify type of food allergy (Z91.01-, Z91.02-)

K52.8 Other specified noninfective gastroenteritis and colitis

K52.81 Eosinophilic gastritis or gastroenteritis

Eosinophilic enteritis

Excludes1: eosinophilic esophagitis (K20.0)

K52.82 Eosinophilic colitis

K52.89 Other specified noninfective gastroenteritis and colitis

Collagenous colitis

Lymphocytic colitis

Microscopic colitis (collagenous or lymphocytic)

K52.9 Noninfective gastroenteritis and colitis, unspecified

Colitis NOS

Enteritis NOS

Gastroenteritis NOS

Ileitis NOS

Jejunitis NOS

Sigmoiditis NOS

Excludes1: diarrhea NOS (R19.7)

functional diarrhea (K59.1)

infectious gastroenteritis and colitis NOS (A09)

neonatal diarrhea (noninfective) (P78.3)

psychogenic diarrhea (F45.8)

Other diseases of intestines (K55-K63)

K55 Vascular disorders of intestine

Excludes1: necrotizing enterocolitis of newborn (P77.-)

K55.0 Acute vascular disorders of intestine

Acute fulminant ischemic colitis

Acute intestinal infarction

Acute small intestine ischemia

Infarction of appendices epiploicae

Mesenteric (artery) (vein) embolism

Mesenteric (artery) (vein) infarction

Mesenteric (artery) (vein) thrombosis

Necrosis of intestine

Subacute ischemic colitis

K55.1 Chronic vascular disorders of intestine

Chronic ischemic colitis

Chronic ischemic enteritis

Chronic ischemic enterocolitis

Ischemic stricture of intestine

Mesenteric atherosclerosis

Mesenteric vascular insufficiency

K55.2 Angiodysplasia of colon

K55.20 Angiodysplasia of colon without hemorrhage

K55.21 Angiodysplasia of colon with hemorrhage

K55.8 Other vascular disorders of intestine

K55.9 Vascular disorder of intestine, unspecified

Ischemic colitis

Ischemic enteritis

Ischemic enterocolitis

K56 Paralytic ileus and intestinal obstruction without hernia

Excludes1: 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)

stenosis of anus or rectum (K62.4)

intestinal obstruction with hernia (K40-K46)

K56.0 Paralytic ileus

Paralysis of bowel

Paralysis of colon

Paralysis of intestine

Excludes1: gallstone ileus (K56.3)

ileus NOS (K56.7)

obstructive ileus NOS (K56.69)

K56.1 Intussusception

Intussusception or invagination of bowel

Intussusception or invagination of colon

Intussusception or invagination of intestine

Intussusception or invagination of rectum

Excludes2: intussusception of appendix (K38.8)

K56.2 Volvulus

Strangulation of colon or intestine

Torsion of colon or intestine

Twist of colon or intestine

Excludes2: volvulus of duodenum (K31.5)

K56.3 Gallstone ileus

Obstruction of intestine by gallstone

K56.4 Other impaction of intestine

Enterolith

Fecal impaction

Impaction (of) colon

K56.5 Intestinal adhesions [bands] with obstruction (postprocedural) (postinfection)

Abdominal hernia due to adhesions with obstruction

Peritoneal adhesions [bands] with intestinal obstruction (postprocedural) (postinfection)

K56.6 Other and unspecified intestinal obstruction

K56.60 Unspecified intestinal obstruction

Intestinal obstruction NOS

Excludes1: intestinal obstruction due to specified condition-code to condition

K56.69 Other intestinal obstruction

Enterostenosis NOS

Obstructive ileus NOS

Occlusion of colon or intestine NOS

Stenosis of colon or intestine NOS

Stricture of colon or intestine NOS

Excludes1: intestinal obstruction due to specified condition-code to condition

K56.7 Ileus, unspecified

Excludes1: obstructive ileus (K56.69)

K57 Diverticular disease of intestine

Excludes1: congenital diverticulum of intestine (Q43.8)

Meckel's diverticulum (Q43.0)

Excludes2: diverticulum of appendix (K38.2)

K57.0 Diverticulitis of small intestine with perforation and abscess

Diverticulitis of small intestine with peritonitis

Excludes1: diverticulitis of both small and large intestine with perforation and abscess (K57.4-)

K57.00 Diverticulitis of small intestine with perforation and abscess without bleeding

K57.01 Diverticulitis of small intestine with perforation and abscess with bleeding

K57.1 Diverticular disease of small intestine without perforation or abscess

Excludes1: diverticular disease of both small and large intestine without perforation or abscess (K57.5-)

K57.10 Diverticulosis of small intestine without perforation or abscess without bleeding

Diverticular disease of small intestine NOS

K57.11 Diverticulosis of small intestine without perforation or abscess with bleeding

K57.12 Diverticulitis of small intestine without perforation or abscess without bleeding

K57.13 Diverticulitis of small intestine without perforation or abscess with bleeding

K57.2 Diverticulitis of large intestine with perforation and abscess

Diverticulitis of colon with peritonitis

Excludes1: diverticulitis of both small and large intestine with perforation and abscess (K57.4-)

K57.20 Diverticulitis of large intestine with perforation and abscess without bleeding

K57.21 Diverticulitis of large intestine with perforation and abscess with bleeding

K57.3 Diverticular disease of large intestine without perforation or abscess

Excludes1: diverticular disease of both small and large intestine without perforation or abscess (K57.5-)

K57.30 Diverticulosis of large intestine without perforation or abscess without bleeding

Diverticular disease of colon NOS

K57.31 Diverticulosis of large intestine without perforation or abscess with bleeding

K57.32 Diverticulitis of large intestine without perforation or abscess without bleeding

K57.33 Diverticulitis of large intestine without perforation or abscess with bleeding

K57.4 Diverticulitis of both small and large intestine with perforation and abscess

Diverticulitis of both small and large intestine with peritonitis

K57.40 Diverticulitis of both small and large intestine with perforation and abscess without bleeding

K57.41 Diverticulitis of both small and large intestine with perforation and abscess with bleeding

K57.5 Diverticular disease of both small and large intestine without perforation or abscess

K57.50 Diverticulosis of both small and large intestine without perforation or abscess without bleeding

Diverticular disease of both small and large intestine NOS

K57.51 Diverticulosis of both small and large intestine without perforation or abscess with bleeding

K57.52 Diverticulitis of both small and large intestine without perforation or abscess without bleeding

K57.53 Diverticulitis of both small and large intestine without perforation or abscess with bleeding

K57.8 Diverticulitis of intestine, part unspecified, with perforation and abscess

Diverticulitis of intestine NOS with peritonitis

K57.80 Diverticulitis of intestine, part unspecified, with perforation and abscess without bleeding

K57.81 Diverticulitis of intestine, part unspecified, with perforation and abscess with bleeding

K57.9 Diverticular disease of intestine, part unspecified, without perforation or abscess

K57.90 Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding

Diverticular disease of intestine NOS

K57.91 Diverticulosis of intestine, part unspecified, without perforation or abscess with bleeding

K57.92 Diverticulitis of intestine, part unspecified, without perforation or abscess without bleeding

K57.93 Diverticulitis of intestine, part unspecified, without perforation or abscess with bleeding

K58 Irritable bowel syndrome

Includes: irritable colon

spastic colon

K58. 0 Irritable bowel syndrome with diarrhea

K58.9 Irritable bowel syndrome without diarrhea

Irritable bowel syndrome NOS

K59 Other functional intestinal disorders

Excludes1: change in bowel habit NOS (R19.4)

intestinal malabsorption (K90.-)

psychogenic intestinal disorders (F45.8)

Excludes2: functional disorders of stomach (K31.-)

K59.0 Constipation

K59.00 Constipation, unspecified

K59.01 Slow transit constipation

K59.02 Outlet dysfunction constipation

K59.09 Other constipation

K59.1 Functional diarrhea

Excludes1: diarrhea NOS (R19.7)

irritable bowel syndrome with diarrhea (K58.0)

K59.2 Neurogenic bowel, not elsewhere classified

K59.3 Megacolon, not elsewhere classified

Dilatation of colon

Toxic megacolon

Code first (T51-T65) to identify toxic agent

Excludes1: congenital megacolon (aganglionic) (Q43.1)

Hirschsprung's disease (Q43.1)

megacolon in Chagas' disease (B57.32)

K59.4 Anal spasm

Proctalgia fugax

K59.8 Other specified functional intestinal disorders

Atony of colon

Pseudo-obstruction (acute) (chronic) of intestine

K59.9 Functional intestinal disorder, unspecified

K60 Fissure and fistula of anal and rectal regions

Excludes1: fissure and fistula of anal and rectal regions with abscess or cellulitis (K61.-)

Excludes2: anal sphincter tear (healed) (nontraumatic) (old) (K62.81)

K60.0 Acute anal fissure

K60.1 Chronic anal fissure

K60.2 Anal fissure, unspecified

K60.3 Anal fistula

K60.4 Rectal fistula

Fistula of rectum to skin

Excludes1: rectovaginal fistula (N82.3)

vesicorectal fistual (N32.1)

K60.5 Anorectal fistula

K61 Abscess of anal and rectal regions

Includes: abscess of anal and rectal regions

cellulitis of anal and rectal regions

K61.0 Anal abscess

Perianal abscess

Excludes1: intrasphincteric abscess (K61.4)

K61.1 Rectal abscess

Perirectal abscess

Excludes1: ischiorectal abscess (K61.3)

K61.2 Anorectal abscess

K61.3 Ischiorectal abscess

Abscess of ischiorectal fossa

K61.4 Intrasphincteric abscess

K62 Other diseases of anus and rectum

Includes: anal canal

Excludes2: colostomy and enterostomy malfunction (K91.4-)

fecal incontinence (R15)

hemorrhoids (I84.-)

K62.0 Anal polyp

K62.1 Rectal polyp

Excludes1: adenomatous polyp (D12.8)

K62.2 Anal prolapse

Prolapse of anal canal

K62.3 Rectal prolapse

Prolapse of rectal mucosa

K62.4 Stenosis of anus and rectum

Stricture of anus (sphincter)

K62.5 Hemorrhage of anus and rectum

Excludes1: gastrointestinal bleeding NOS (K92.2)

melena (K92.1)

neonatal rectal hemorrhage (P54.2)

K62.6 Ulcer of anus and rectum

Solitary ulcer of anus and rectum

Stercoral ulcer of anus and rectum

Excludes1: fissure and fistula of anus and rectum (K60.-)

ulcerative colitis (K51.-)

K62.7 Radiation proctitis

Use additional code to identify the type of radiation (W90.-)

K62.8 Other specified diseases of anus and rectum

Excludes2: ulcerative proctitis (K51.2)

K62.81 Anal sphincter tear (healed) (nontraumatic) (old)

Tear of anus, nontraumatic

Use additional code for any associated fecal incontinence (R15)

Excludes2: anal fissure (K60.-)

anal sphincter tear (healed) (old) complicating delivery (O34.7-)

traumatic tear of anal sphincter (S31.831)

K62.82 Dysplasia of anus

Anal intraepithelial neoplasia I and II (AIN I and II) (histologically confirmed)

Dysplasia of anus NOS

Mild and moderate dysplasia of anus (histologically confirmed)

Excludes1: abnormal results from anal cytologic examination without histologic confirmation (R85.61-)

anal intraepithelial neoplasia III (D01.3)

carcinoma in situ of anus (D01.3)

HGSIL of anus (R85.613)

severe dysplasia of anus (D01.3)

K62.89 Other specified diseases of anus and rectum

Proctitis NOS

K62.9 Disease of anus and rectum, unspecified

K63 Other diseases of intestine

K63.0 Abscess of intestine

Excludes1: abscess of intestine with Crohn's disease (K50.04, K50.14, K50.84, K50.94,)

abscess of intestine with diverticular disease (K57.0, K57.2, K57.4, K57.8)

abscess of intestine with ulcerative colitis (K51.04, K51.14, K51.24, K51.34, K51.44, K51.54, K51.84, K51.94)

Excludes2: abscess of anal and rectal regions (K61.-)

abscess of appendix (K35.2)

K63.1 Perforation of intestine (nontraumatic)

Perforation (nontraumatic) of rectum

Excludes1: perforation (nontraumatic) of duodenum (K26.-)

perforation (nontraumatic) of intestine with diverticular disease (K57.0, K57.2, K57.4, K57.8)

Excludes2: perforation (nontraumatic) of appendix (K35.2, K35.3)

K63.2 Fistula of intestine

Excludes1: fistula of duodenum (K31.6)

fistula of intestine with Crohn?s disease (K50.03, K50.13, K50.83, K50.93,)

fistula of intestine with ulcerative colitis (K51.03, K51.13, K51.23, K51.33, K51.43, K51.53, K51.83, K51.93)

Excludes2: fistula of anal and rectal regions (K60.-)

fistula of appendix (K38.3)

intestinal-genital fistula, female (N82.2-N82.4)

vesicointestinal fistula (N32.1)

K63.3 Ulcer of intestine

Primary ulcer of small intestine

Excludes1: duodenal ulcer (K26.-)

gastrointestinal ulcer (K28.-)

gastrojejunal ulcer (K28.-)

jejunal ulcer (K28.-)

peptic ulcer, site unspecified (K27.-)

ulcer of intestine with perforation (K63.1)

ulcer of anus or rectum (K62.6)

ulcerative colitis (K51.-)

K63.4 Enteroptosis

K63.5 Polyp of colon

Excludes1: adenomatous polyp of colon (D12.6)

inflammatory polyp of colon (K51.4-)

polyposis of colon (D12.6)

K63.8 Other specified diseases of intestine

K63.81 Dieulafoy lesion of intestine

Excludes2: Dieulafoy lesion of stomach and duodenum (K31.82)

K63.89 Other specified diseases of intestine

K63.9 Disease of intestine, unspecified

Diseases of peritoneum and retroperitoneum (K65-K68)

K65 Peritonitis

Use additional code (B95-B97), to identify infectious agent

Excludes1: acute appendicitis with generalized peritonitis (K35.2)

aseptic peritonitis (T81.6)

benign paroxysmal peritonitis (E85.0)

chemical peritonitis (T81.6)

diverticulitis of both small and large intestine with peritonitis (K57.4-)

diverticulitis of colon with peritonitis (K57.2-)

diverticulitis of intestine, NOS, with peritonitis (K57.8-)

diverticulitis of small intestine with peritonitis (K57.0-)

gonococcal peritonitis (A54.85)

neonatal peritonitis (P78.0-P78.1)

pelvic peritonitis, female (N73.3-N73.5)

periodic familial peritonitis (E85.0)

peritonitis due to talc or other foreign substance (T81.6)

peritonitis in chlamydia (A74.81)

peritonitis in diphtheria (A36.89)

peritonitis in syphilis (late) (A52.74)

peritonitis in tuberculosis (A18.31)

peritonitis with or following abortion or ectopic or molar pregnancy (O00-O07, O08.0)

peritonitis with or following appendicitis (K35.-)

peritonitis with or following diverticular disease of intestine (K57.-)

puerperal peritonitis (O85)

retroperitoneal infections (K68.-)

K65.0 Generalized (acute) peritonitis

Pelvic peritonitis (acute), male

Subphrenic peritonitis (acute)

Suppurative peritonitis (acute)

K65.1 Peritoneal abscess

Abdominopelvic abscess

Abscess (of) omentum

Abscess (of) peritoneum

Mesenteric abscess

Retrocecal abscess

Subdiaphragmatic abscess

Subhepatic abscess

Subphrenic abscess

K65.2 Spontaneous bacterial peritonitis

Excludes1: bacterial peritonitis NOS K65.9

K65.3 Choleperitonitis

Peritonitis due to bile

K65.4 Sclerosing mesenteritis

Fat necrosis of peritoneum

(Idiopathic) sclerosing mesenteric fibrosis

Mesenteric lipodystrophy

Mesenteric panniculitis

Retractile mesenteritis

K65.8 Other peritonitis

Chronic proliferative peritonitis

Peritonitis due to urine

K65.9 Peritonitis, unspecified

Bacterial peritonitis NOS

K66 Other disorders of peritoneum

Excludes2: ascites (R18.-)

peritoneal effusion (chronic) (R18.8)

K66.0 Peritoneal adhesions (postprocedural) (postinfection)

Adhesions (of) abdominal (wall)

Adhesions (of) diaphragm

Adhesions (of) intestine

Adhesions (of) male pelvis

Adhesions (of) omentum

Adhesions (of) stomach

Adhesive bands

Mesenteric adhesions

Excludes1: female pelvic adhesions [bands] (N73.6)

peritoneal adhesions with intestinal obstruction (K56.5)

K66.1 Hemoperitoneum

Excludes1: traumatic hemoperitoneum (S36.8-)

K66.8 Other specified disorders of peritoneum

K66. 9 Disorder of peritoneum, unspecified

K67 Disorders of peritoneum in infectious diseases classified elsewhere

Code first underlying disease, such as :

congenital syphilis (A50.0)

helminthiasis (B65.0 - B83.9)

Excludes1: peritonitis in chlamydia (A74.81)

peritonitis in diphtheria (A36.89)

peritonitis in gonococcal (A54.85)

peritonitis in syphilis (late) (A52.74)

peritonitis in tuberculosis (A18.31)

K68 Disorders of retroperitoneum

K68.1 Retroperitoneal abscess

K68.11 Postprocedural retroperitoneal abscess

K68.12 Psoas muscle abscess

K68.19 Other retroperitoneal abscess

K68.9 Other disorders of retroperitoneum

Diseases of liver (K70-K77)

Excludes1: jaundice NOS (R17)

Excludes2: hemochromatosis (E83.1)

Reye's syndrome (G93.7)

viral hepatitis (B15-B19)

Wilson's disease (E83.0)

K70 Alcoholic liver disease

Use additional code to identify:

alcohol abuse and dependence (F10.-)

K70.0 Alcoholic fatty liver

K70.1 Alcoholic hepatitis

K70.10 Alcoholic hepatitis without ascites

K70.11 Alcoholic hepatitis with ascites

K70.2 Alcoholic fibrosis and sclerosis of liver

K70.3 Alcoholic cirrhosis of liver

Alcoholic cirrhosis NOS

K70.30 Alcoholic cirrhosis of liver without ascites

K70.31 Alcoholic cirrhosis of liver with ascites

K70.4 Alcoholic hepatic failure

Acute alcoholic hepatic failure

Alcoholic hepatic failure NOS

Chronic alcoholic hepatic failure

Subacute alcoholic hepatic failure

K70.40 Alcoholic hepatic failure without coma

K70.41 Alcoholic hepatic failure with coma

K70. 9 Alcoholic liver disease, unspecified

K71 Toxic liver disease

Includes: drug-induced idiosyncratic (unpredictable) liver disease

drug-induced toxic (predictable) liver disease

Code first (T36-T65) to identify drug or toxic agent

Excludes2: alcoholic liver disease (K70.-)

Budd-Chiari syndrome (I82.0)

K71.0 Toxic liver disease with cholestasis

Cholestasis with hepatocyte injury

"Pure" cholestasis

K71.1 Toxic liver disease with hepatic necrosis

Hepatic failure (acute) (chronic) due to drugs

K71.10 Toxic liver disease with hepatic necrosis, without coma

K71.11 Toxic liver disease with hepatic necrosis, with coma

K71.2 Toxic liver disease with acute hepatitis

K71.3 Toxic liver disease with chronic persistent hepatitis

K71.4 Toxic liver disease with chronic lobular hepatitis

K71.5 Toxic liver disease with chronic active hepatitis

Toxic liver disease with lupoid hepatitis

K71.50 Toxic liver disease with chronic active hepatitis without ascites

K71.51 Toxic liver disease with chronic active hepatitis with ascites

K71.6 Toxic liver disease with hepatitis, not elsewhere classified

K71.7 Toxic liver disease with fibrosis and cirrhosis of liver

K71.8 Toxic liver disease with other disorders of liver

Toxic liver disease with focal nodular hyperplasia

Toxic liver disease with hepatic granulomas

Toxic liver disease with peliosis hepatis

Toxic liver disease with veno-occlusive disease of liver

K71.9 Toxic liver disease, unspecified

K72 Hepatic failure, not elsewhere classified

Includes: acute hepatitis NEC, with hepatic failure

fulminant hepatitis NEC, with hepatic failure

hepatic encephalopathy NOS

liver (cell) necrosis with hepatic failure

malignant hepatitis NEC, with hepatic failure

yellow liver atrophy or dystrophy

Excludes1: alcoholic hepatic failure (K70.4)

hepatic failure complicating abortion or ectopic or molar pregnancy (O00-O07, O08.8)

hepatic failure complicating pregnancy, childbirth and the puerperium (O26.6)

hepatic failure with toxic liver disease (K71.1-)

icterus of newborn (P55-P59)

postprocedural hepatic failure (K91.81)

viral hepatitis with hepatic coma (B15-B19)

K72.0 Acute and subacute hepatic failure

K72.00 Acute and subacute hepatic failure without coma

K72.01 Acute and subacute hepatic failure with coma

K72.1 Chronic hepatic failure

K72.10 Chronic hepatic failure without coma

K72.11 Chronic hepatic failure with coma

K72.9 Hepatic failure, unspecified

K72.90 Hepatic failure, unspecified without coma

K72.91 Hepatic failure, unspecified with coma

Hepatic coma NOS

K73 Chronic hepatitis, not elsewhere classified

Excludes1: alcoholic hepatitis (chronic) (K70.1-)

drug-induced hepatitis (chronic) (K71.-)

granulomatous hepatitis (chronic) NEC (K75.3)

reactive, nonspecific hepatitis (chronic) (K75.2)

viral hepatitis (chronic) (B15-B19)

K73.0 Chronic persistent hepatitis, not elsewhere classified

K73.1 Chronic lobular hepatitis, not elsewhere classified

K73.2 Chronic active hepatitis, not elsewhere classified

Lupoid hepatitis NEC

K73.8 Other chronic hepatitis, not elsewhere classified

K73.9 Chronic hepatitis, unspecified

K74 Fibrosis and cirrhosis of liver

Code also, if applicable, viral hepatitis (acute) (chronic) (B15-B19)

Excludes1: alcoholic cirrhosis (of liver) (K70.3)

alcoholic fibrosis of liver (K70.2)

cardiac sclerosis of liver (K76.1)

cirrhosis (of liver) with toxic liver disease (K71.7)

congenital cirrhosis (of liver) (P78.81)

K74.0 Hepatic fibrosis

K74.1 Hepatic sclerosis

K74.2 Hepatic fibrosis with hepatic sclerosis

K74.3 Primary biliary cirrhosis

Chronic nonsuppurative destructive cholangitis

K74.4 Secondary biliary cirrhosis

K74.5 Biliary cirrhosis, unspecified

K74.6 Other and unspecified cirrhosis of liver

K74.60 Unspecified cirrhosis of liver

Cirrhosis (of liver) NOS

K74.69 Other cirrhosis of liver

Cryptogenic cirrhosis (of liver)

Macronodular cirrhosis (of liver)

Micronodular cirrhosis (of liver)

Mixed type cirrhosis (of liver)

Portal cirrhosis (of liver)

Postnecrotic cirrhosis (of liver)

K75 Other inflammatory liver diseases

Excludes2: toxic liver disease (K71.-)

K75.0 Abscess of liver

Cholangitic hepatic abscess

Hematogenic hepatic abscess

Hepatic abscess NOS

Lymphogenic hepatic abscess

Pylephlebitic hepatic abscess

Excludes1: amebic liver abscess (A06.4)

cholangitis without liver abscess (K83.0)

pylephlebitis without liver abscess (K75.1)

K75.1 Phlebitis of portal vein

Pylephlebitis

Excludes1: pylephlebitic liver abscess (K75.0)

K75.2 Nonspecific reactive hepatitis

Excludes1: acute or subacute hepatitis (K72.0-)

chronic hepatitis NEC (K73.-)

viral hepatitis (B15-B19)

K75.3 Granulomatous hepatitis, not elsewhere classified

Excludes1: acute or subacute hepatitis (K72.0-)

chronic hepatitis NEC (K73.-)

viral hepatitis (B15-B19)

K75.4 Autoimmune hepatitis

K75.8 Other specified inflammatory liver diseases

K75.81 Nonalcoholic steatohepatitis (NASH)

K75.89 Other specified inflammatory liver diseases

K75.9 Inflammatory liver disease, unspecified

Hepatitis NOS

Excludes1: acute or subacute hepatitis (K72.0-)

chronic hepatitis NEC (K73.-)

viral hepatitis (B15-B19)

K76 Other diseases of liver

Excludes2: alcoholic liver disease (K70.-)

amyloid degeneration of liver (E85.-)

cystic disease of liver (congenital) (Q44.6)

hepatic vein thrombosis (I82.0)

hepatomegaly NOS (R16.0)

portal vein thrombosis (I81)

toxic liver disease (K71.-)

K76.0 Fatty (change of) liver, not elsewhere classified

Nonalcoholic fatty liver disease (NAFLD)

Excludes1: nonalcoholic steatohepatitis (NASH) (K75.81)

K76.1 Chronic passive congestion of liver

Cardiac cirrhosis

Cardiac sclerosis

K76.2 Central hemorrhagic necrosis of liver

Excludes1: liver necrosis with hepatic failure (K72.-)

K76.3 Infarction of liver

K76.4 Peliosis hepatis

Hepatic angiomatosis

K76.5 Hepatic veno-occlusive disease

Excludes1: Budd-Chiari syndrome (I82.0)

K76.6 Portal hypertension

K76.7 Hepatorenal syndrome

Excludes1: hepatorenal syndrome following labor and delivery (O90.4)

postprocedural hepatorenal syndrome (K91.82)

K76.8 Other specified diseases of liver

Cyst (simple) of liver

Focal nodular hyperplasia of liver

Hepatoptosis

K76.9 Liver disease, unspecified

K77 Liver disorders in diseases classified elsewhere

Code first underlying disease, such as:

amyloidosis (E85.-)

congenital syphilis (A50.0, A50.5)

congenital toxoplasmosis (P37.1)

schistosomiasis (B65.0-B65.9)

Excludes1: alcoholic hepatitis (K70.1-)

alcoholic liver disease (K70.-)

cytomegaloviral hepatitis (B25.1)

herpesviral [herpes simplex] hepatitis (B00.81)

infectious mononucleosis with liver disease (B27.0-B27.9 with .9)

mumps hepatitis (B26.81)

sarcoidosis with liver disease (D86.89)

secondary syphilis with liver disease (A51.45)

syphilis (late) with liver disease (A52.74)

toxoplasmosis (acquired) hepatitis (B58.1)

tuberculosis with liver disease (A18.83)

Disorders of gallbladder, biliary tract and pancreas (K80-K87)

K80 Cholelithiasis

K80.0 Calculus of gallbladder with acute cholecystitis

Any condition listed in K80.2 with acute cholecystitis

K80. 00 Calculus of gallbladder with acute cholecystitis without obstruction

K80.01 Calculus of gallbladder with acute cholecystitis with obstruction

K80.1 Calculus of gallbladder with other cholecystitis

K80.10 Calculus of gallbladder with chronic cholecystitis without obstruction

Cholelithiasis with cholecystitis NOS

K80.11 Calculus of gallbladder with chronic cholecystitis with obstruction

K80.12 Calculus of gallbladder with acute and chronic cholecystitis without obstruction

K80.13 Calculus of gallbladder with acute and chronic cholecystitis with obstruction

K80.18 Calculus of gallbladder with other cholecystitis without obstruction

K80.19 Calculus of gallbladder with other cholecystitis with obstruction

K80.2 Calculus of gallbladder without cholecystitis

Cholecystolithiasis without cholecystitis

Cholelithiasis (without cholecystitis)

Colic (recurrent) of gallbladder (without cholecystitis)

Gallstone (impacted) of cystic duct (without cholecystitis)

Gallstone (impacted) of gallbladder (without cholecystitis)

K80.20 Calculus of gallbladder without cholecystitis without obstruction

K80.21 Calculus of gallbladder without cholecystitis with obstruction

K80.3 Calculus of bile duct with cholangitis

Any condition listed in K80.5 with cholangitis

K80.30 Calculus of bile duct with cholangitis, unspecified, without obstruction

K80.31 Calculus of bile duct with cholangitis, unspecified, with obstruction

K80.32 Calculus of bile duct with acute cholangitis without obstruction

K80.33 Calculus of bile duct with acute cholangitis with obstruction

K80.34 Calculus of bile duct with chronic cholangitis without obstruction

K80.35 Calculus of bile duct with chronic cholangitis with obstruction

K80.36 Calculus of bile duct with acute and chronic cholangitis without obstruction

K80.37 Calculus of bile duct with acute and chronic cholangitis with obstruction

K80. 4 Calculus of bile duct with cholecystitis

Any condition listed in K80.5 with cholecystitis (with cholangitis)

K80.40 Calculus of bile duct with cholecystitis, unspecified, without obstruction

K80.41 Calculus of bile duct with cholecystitis, unspecified, with obstruction

K80.42 Calculus of bile duct with acute cholecystitis without obstruction

K80.43 Calculus of bile duct with acute cholecystitis with obstruction

K80.44 Calculus of bile duct with chronic cholecystitis without obstruction

K80.45 Calculus of bile duct with chronic cholecystitis with obstruction

K80.46 Calculus of bile duct with acute and chronic cholecystitis without obstruction

K80.47 Calculus of bile duct with acute and chronic cholecystitis with obstruction

K80.5 Calculus of bile duct without cholangitis or cholecystitis

Choledocholithiasis (without cholangitis or cholecystitis)

Gallstone (impacted) of bile duct NOS (without cholangitis or cholecystitis)

Gallstone (impacted) of common duct (without cholangitis or cholecystitis)

Gallstone (impacted) of hepatic duct (without cholangitis or cholecystitis)

Hepatic cholelithiasis (without cholangitis or cholecystitis)

Hepatic colic (recurrent) (without cholangitis or cholecystitis)

K80.50 Calculus of bile duct without cholangitis or cholecystitis without obstruction

K80.51 Calculus of bile duct without cholangitis or cholecystitis with obstruction

K80.6 Calculus of gallbladder and bile duct with cholecystitis

K80.60 Calculus of gallbladder and bile duct with cholecystitis, unspecified, without obstruction

K80.61 Calculus of gallbladder and bile duct with cholecystitis, unspecified, with obstruction

K80.62 Calculus of gallbladder and bile duct with acute cholecystitis without obstruction

K80.63 Calculus of gallbladder and bile duct with acute cholecystitis with obstruction

K80.64 Calculus of gallbladder and bile duct with chronic cholecystitis without obstruction

K80.65 Calculus of gallbladder and bile duct with chronic cholecystitis with obstruction

K80.66 Calculus of gallbladder and bile duct with acute and chronic cholecystitis without obstruction

K80. 67 Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction

K80.7 Calculus of gallbladder and bile duct without cholecystitis

K80.70 Calculus of gallbladder and bile duct without cholecystitis without obstruction

K80.71 Calculus of gallbladder and bile duct without cholecystitis with obstruction

K80.8 Other cholelithiasis

K80.80 Other cholelithiasis without obstruction

K80.81 Other cholelithiasis with obstruction

K81 Cholecystitis

Excludes1: cholecystitis with cholelithiasis (K80.-)

K81.0 Acute cholecystitis

Abscess of gallbladder

Angiocholecystitis

Emphysematous (acute) cholecystitis

Empyema of gallbladder

Gangrene of gallbladder

Gangrenous cholecystitis

Suppurative cholecystitis

K81.1 Chronic cholecystitis

K81.2 Acute cholecystitis with chronic cholecystitis

K81.9 Cholecystitis, unspecified

K82 Other diseases of gallbladder

Excludes1: nonvisualization of gallbladder (R93.2)

postcholecystectomy syndrome (K91.5)

K82.0 Obstruction of gallbladder

Occlusion of cystic duct or gallbladder without cholelithiasis

Stenosis of cystic duct or gallbladder without cholelithiasis

Stricture of cystic duct or gallbladder without cholelithiasis

Excludes1: obstruction of gallbladder with cholelithiasis (K80.-)

K82.1 Hydrops of gallbladder

Mucocele of gallbladder

K82.2 Perforation of gallbladder

Rupture of cystic duct or gallbladder

K82.3 Fistula of gallbladder

Cholecystocolic fistula

Cholecystoduodenal fistula

K82.4 Cholesterolosis of gallbladder

Strawberry gallbladder

Excludes1: cholesterolosis of gallbladder with cholecystitis (K81.-)

cholesterolosis of gallbladder with cholelithiasis (K80.-)

K82.8 Other specified diseases of gallbladder

Adhesions of cystic duct or gallbladder

Atrophy of cystic duct or gallbladder

Cyst of cystic duct or gallbladder

Dyskinesia of cystic duct or gallbladder

Hypertrophy of cystic duct or gallbladder

Nonfunctioning of cystic duct or gallbladder

Ulcer of cystic duct or gallbladder

K82.9 Disease of gallbladder, unspecified

K83 Other diseases of biliary tract

Excludes1: postcholecystectomy syndrome (K91.5)

Excludes2: conditions involving the gallbladder (K81-K82)

conditions involving the cystic duct (K81-K82)

K83.0 Cholangitis

Ascending cholangitis

Cholangitis NOS

Primary cholangitis

Recurrent cholangitis

Sclerosing cholangitis

Secondary cholangitis

Stenosing cholangitis

Suppurative cholangitis

Excludes1: cholangitic liver abscess (K75.0)

cholangitis with choledocholithiasis (K80.3-, K80.4-)

chronic nonsuppurative destructive cholangitis (K74.3)

K83.1 Obstruction of bile duct

Occlusion of bile duct without cholelithiasis

Stenosis of bile duct without cholelithiasis

Stricture of bile duct without cholelithiasis

Excludes1: congenital obstruction of bile duct (Q44.3)

obstruction of bile duct with cholelithiasis (K80.-)

K83.2 Perforation of bile duct

Rupture of bile duct

K83.3 Fistula of bile duct

Choledochoduodenal fistula

K83.4 Spasm of sphincter of Oddi

K83.5 Biliary cyst

K83.8 Other specified diseases of biliary tract

Adhesions of biliary tract

Atrophy of biliary tract

Hypertrophy of biliary tract

Ulcer of biliary tract

K83.9 Disease of biliary tract, unspecified

K85 Acute pancreatitis

Abscess of pancreas

Acute necrosis of pancreas

Acute (recurrent) pancreatitis

Gangrene of (gangrenous) pancreas

Hemorrhagic pancreatitis

Infective necrosis of pancreas

Subacute pancreatitis

Suppurative pancreatitis

K85.0 Idiopathic acute pancreatitis

K85.1 Biliary acute pancreatitis

Gallstone pancreatitis

K85.2 Alcohol induced acute pancreatitis

Excludes2: alcohol induced chronic pancreatitis (K86.0)

K85.3 Drug induced acute pancreatitis

Use additional code to identify:

drug abuse and dependence (F11.-- F17.-)

K85.8 Other acute pancreatitis

K85.9 Acute pancreatitis, unspecified

Pancreatitis NOS

K86 Other diseases of pancreas

Excludes2: fibrocystic disease of pancreas (E84.-)

islet cell tumor (of pancreas) (D13.7)

pancreatic steatorrhea (K90.3)

K86.0 Alcohol-induced chronic pancreatitis

Use additional code to identify:

alcohol abuse and dependence (F10.-)

Excludes2: alcohol induced acute pancreatitis (K85.2)

K86.1 Other chronic pancreatitis

Chronic pancreatitis NOS

Infectious chronic pancreatitis

Recurrent chronic pancreatitis

Relapsing chronic pancreatitis

K86.2 Cyst of pancreas

K86.3 Pseudocyst of pancreas

K86.8 Other specified diseases of pancreas

Aseptic pancreatic necrosis

Atrophy of pancreas

Calculus of pancreas

Cirrhosis of pancreas

Fibrosis of pancreas

Pancreatic fat necrosis

Pancreatic infantilism

Pancreatic necrosis NOS

K86.9 Disease of pancreas, unspecified

K87 Disorders of gallbladder, biliary tract and pancreas in diseases classified elsewhere

Code first underlying disease

Excludes1: cytomegaloviral pancreatitis(B25.2)

mumps pancreatitis (B26.3)

syphilitic gallbladder (A52.74)

syphilitic pancreas (A52.74)

tuberculosis of gallbladder (A18.83)

tuberculosis of pancreas (A18.83)

Other diseases of the digestive system (K90-K94)

K90 Intestinal malabsorption

Excludes1: intestinal malabsorption following gastrointestinal surgery (K91.2)

K90.0 Celiac disease

Gluten-sensitive enteropathy

Idiopathic steatorrhea

Nontropical sprue

K90.1 Tropical sprue

Sprue NOS

Tropical steatorrhea

K90.2 Blind loop syndrome, not elsewhere classified

Blind loop syndrome NOS

Excludes1: congenital blind loop syndrome (Q43.8)

postsurgical blind loop syndrome (K91.2)

K90.3 Pancreatic steatorrhea

K90.4 Malabsorption due to intolerance, not elsewhere classified

Malabsorption due to intolerance to carbohydrate

Malabsorption due to intolerance to fat

Malabsorption due to intolerance to protein

Malabsorption due to intolerance to starch

Excludes2: gluten-sensitive enteropathy (K90.0)

lactose intolerance (E73.-)

K90.8 Other intestinal malabsorption

K90.81 Whipple's disease

K90.89 Other intestinal malabsorption

K90.9 Intestinal malabsorption, unspecified

K91 Intraoperative and postprocedural complications and disorders of digestive system, not elsewhere classified

Excludes2: complications of artificial opening of digestive system (K94.-)

gastrojejunal ulcer (K28.-)

postprocedural (radiation) retroperitoneal abscess (K68.11)

radiation colitis (K52.0)

radiation gastroenteritis (K52.0)

radiation proctitis (K62.7)

K91.0 Vomiting following gastrointestinal surgery

K91.1 Postgastric surgery syndromes

Dumping syndrome

Postgastrectomy syndrome

Postvagotomy syndrome

K91.2 Postsurgical malabsorption, not elsewhere classified

Postsurgical blind loop syndrome

Excludes1: malabsorption osteomalacia in adults (M83.2)

malabsorption osteoporosis, postsurgical (M81.3)

K91.3 Postprocedural intestinal obstruction

K91.5 Postcholecystectomy syndrome

K91.6 Intraoperative hemorrhage and hematoma of a digestive system organ or structure complicating a procedure

Excludes1: intraoperative hemorrhage and hematoma of a digestive system organ or structure due to accidental puncture and laceration during a procedure (K91.7-)

K91.61 Intraoperative hemorrhage and hematoma of a digestive system organ or structure complicating a digestive sytem procedure

K91.62 Intraoperative hemorrhage and hematoma of a digestive system organ or structure complicating other procedure

K91.7 Accidental puncture and laceration of a digestive system organ or structure during a procedure

K91.71 Accidental puncture and laceration of a digestive system organ or structure during a digestive system procedure

K91.72 Accidental puncture and laceration of a digestive system organ or structure during other procedure

K91.8 Other intraoperative and postprocedural complications and disorders of digestive system

K91.81 Other intraoperative complications of digestive system

K91.82 Postprocedural hepatic failure

K91.83 Postprocedural hepatorenal syndrome

K91.84 Postprocedural hemorrhage and hematoma of a digestive system organ or structure following a procedure

K91.840 Postprocedural hemorrhage and hematoma of a digestive system organ or structure following a digestive system procedure

K91.841 Postprocedural hemorrhage and hematoma of a digestive system organ or structure following other procedure

K91.85 Complications of intestinal pouch

K91.850 Pouchitis

Inflammation of internal ileoanal pouch

K91.858 Other complications of intestinal pouch

K91.89 Other postprocedural complications and disorders of digestive system

Use additional code, if applicable, to further specify disorder

Excludes2: postprocedural retroperitoneal abscess (K68.11)

K92 Other diseases of digestive system

Excludes1: neonatal gastrointestinal hemorrhage (P54.0-P54.3)

K92.0 Hematemesis

K92.1 Melena

Excludes1: occult blood in feces (R19.5)

K92.2 Gastrointestinal hemorrhage, unspecified

Gastric hemorrhage NOS

Intestinal hemorrhage NOS

Excludes1: acute hemorrhagic gastritis (K29.01)

hemorrhage of anus and rectum (K62.5)

angiodysplasia of stomach with hemorrhage (K31.811)

diverticular disease with hemorrhage (K57.-)

gastritis and duodenitis with hemorrhage (K29.-)

peptic ulcer with hemorrhage (K25-K28)

K92.8 Other specified diseases of the digestive system

K92.81 Gastrointestinal mucositis (ulcerative)

Code also type of associated therapy, such as:

antineoplastic and immunosuppressive drugs (T45.1x-)

radiological procedure and radiotherapy (Y84.2)

Excludes2: mucositis (ulcerative) of vagina and vulva (N76.81)

nasal mucositis (ulcerative) (J34.81)

oral mucositis (ulcerative) (K12.3-)

K92.89 Other specified diseases of the digestive system

K92.9 Disease of digestive system, unspecified

K94 Complications of artificial openings of the digestive system

K94.0 Colostomy complications

K94.00 Colostomy complication, unspecified

K94.01 Colostomy hemorrhage

K94.02 Colostomy infection

Use additional code to specify type of infection, such as:

cellulitis of abdominal wall (L03.32)

sepsis (A40.-, A41.-)

K94.03 Colostomy malfunction

Mechanical complication of colostomy

K94.09 Other complications of colostomy

K94.1 Enterostomy complications

K94.10 Enterostomy complication, unspecified

K94.11 Enterostomy hemorrhage

K94.12 Enterostomy infection

Use additional code to specify type of infection, such as:

cellulitis of abdominal wall (L03.32)

sepsis (A40.-, A41.-)

K94.13 Enterostomy malfunction

Mechanical complication of enterostomy

K94.19 Other complications of enterostomy

K94.2 Gastrostomy complications

K94.20 Gastrostomy complication, unspecified

K94.21 Gastrostomy hemorrhage

K94.22 Gastrostomy infection

Use additional code to specify type of infection, such as:

cellulitis of abdominal wall (L03.32)

sepsis (A40.-, A41.-)

K94.23 Gastrostomy malfunction

Mechanical complication of gastrostomy

K94.29 Other complications of gastrostomy

K94.3 Esophagostomy complications

K94.30 Esophagostomy complications, unspecified

K94.31 Esophagostomy hemorrhage

K94.32 Esophagostomy infection

Use additional code to identify the infection

K94.33 Esophagostomy malfunction

Mechanical complication of esophagostomy

K94.39 Other complications ofesophagostomy