K57.5 — Diverticular disease of both small and large intestine without perforation or abscess
Is K57.5 billable?
No — K57.5 is a non-billable header code. K57.5 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 4 billable codes beneath K57.5.
Billable codes under this header
- K57.50Diverticulosis of both small and large intestine without perforation or abscess without bleeding
- K57.51Diverticulosis of both small and large intestine without perforation or abscess with bleeding
- K57.52Diverticulitis of both small and large intestine without perforation or abscess without bleeding
- K57.53Diverticulitis of both small and large intestine without perforation or abscess with bleeding
K57.5 at a glance
| Code | K57.5 |
|---|---|
| Description | Diverticular disease of both small and large intestine without perforation or abscess |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes1 — never code together — inherited from K57
The conditions below can never be reported together with K57.5 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Excludes2 — not included here — inherited from Chapter 11
The conditions below are not part of K57.5, but a patient may have both at the same time. When documentation supports it, K57.5 and the excluded code may both be reported.
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
Excludes2 — not included here — inherited from K57
The conditions below are not part of K57.5, but a patient may have both at the same time. When documentation supports it, K57.5 and the excluded code may both be reported.
- diverticulum of appendix (K38.2)
Code also — inherited from K57
Two codes may be needed to describe the condition fully. Whether K57.5 is sequenced first depends on the reason for the encounter.
What codes fall under K57.5? (4)
- K57.50Diverticulosis of both small and large intestine without perforation or abscess without bleeding
- K57.51Diverticulosis of both small and large intestine without perforation or abscess with bleeding
- K57.52Diverticulitis of both small and large intestine without perforation or abscess without bleeding
- K57.53Diverticulitis of both small and large intestine without perforation or abscess with bleeding
How long has K57.5 existed?
K57.5 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
What other codes are in the K57 family? (7)
- K57.0Diverticulitis of small intestine with perforation and abscessnot billable
- K57.1Diverticular disease of small intestine without perforation or abscessnot billable
- K57.2Diverticulitis of large intestine with perforation and abscessnot billable
- K57.3Diverticular disease of large intestine without perforation or abscessnot billable
- K57.4Diverticulitis of both small and large intestine with perforation and abscessnot billable
- K57.8Diverticulitis of intestine, part unspecified, with perforation and abscessnot billable
- K57.9Diverticular disease of intestine, part unspecified, without perforation or abscessnot billable