HCC 78 (V28)

Intestinal Obstruction/Perforation

76 ICD-10-CM codes map to this category in the CMS-HCC V28 risk adjustment model for payment year 2027. All 115 HCCs

Overridden by: HCC 77 (Intestine Transplant Status/Complications). If the patient also has one of these, only the higher HCC counts.

A54.85Gonococcal peritonitis
K25.1Acute gastric ulcer with perforation
K25.2Acute gastric ulcer with both hemorrhage and perforation
K25.5Chronic or unspecified gastric ulcer with perforation
K25.6Chronic or unspecified gastric ulcer with both hemorrhage and perforation
K26.1Acute duodenal ulcer with perforation
K26.2Acute duodenal ulcer with both hemorrhage and perforation
K26.5Chronic or unspecified duodenal ulcer with perforation
K26.6Chronic or unspecified duodenal ulcer with both hemorrhage and perforation
K27.1Acute peptic ulcer, site unspecified, with perforation
K27.2Acute peptic ulcer, site unspecified, with both hemorrhage and perforation
K27.5Chronic or unspecified peptic ulcer, site unspecified, with perforation
K27.6Chronic or unspecified peptic ulcer, site unspecified, with both hemorrhage and perforation
K28.1Acute gastrojejunal ulcer with perforation
K28.2Acute gastrojejunal ulcer with both hemorrhage and perforation
K28.5Chronic or unspecified gastrojejunal ulcer with perforation
K28.6Chronic or unspecified gastrojejunal ulcer with both hemorrhage and perforation
K50.012Crohn's disease of small intestine with intestinal obstruction
K50.112Crohn's disease of large intestine with intestinal obstruction
K50.812Crohn's disease of both small and large intestine with intestinal obstruction
K50.912Crohn's disease, unspecified, with intestinal obstruction
K51.012Ulcerative (chronic) pancolitis with intestinal obstruction
K51.212Ulcerative (chronic) proctitis with intestinal obstruction
K51.312Ulcerative (chronic) rectosigmoiditis with intestinal obstruction
K51.412Inflammatory polyps of colon with intestinal obstruction
K51.512Left sided colitis with intestinal obstruction
K51.812Other ulcerative colitis with intestinal obstruction
K51.912Ulcerative colitis, unspecified with intestinal obstruction
K56.0Paralytic ileus
K56.1Intussusception
K56.2Volvulus
K56.3Gallstone ileus
K56.41Fecal impaction
K56.49Other impaction of intestine
K56.50Intestinal adhesions [bands], unspecified as to partial versus complete obstruction
K56.51Intestinal adhesions [bands], with partial obstruction
K56.52Intestinal adhesions [bands] with complete obstruction
K56.600Partial intestinal obstruction, unspecified as to cause
K56.601Complete intestinal obstruction, unspecified as to cause
K56.609Unspecified intestinal obstruction, unspecified as to partial versus complete obstruction
K56.690Other partial intestinal obstruction
K56.691Other complete intestinal obstruction
K56.699Other intestinal obstruction unspecified as to partial versus complete obstruction
K56.7Ileus, unspecified
K59.31Toxic megacolon
K63.1Perforation of intestine (nontraumatic)
K65.0Generalized (acute) peritonitis
K65.1Peritoneal abscess
K65.2Spontaneous bacterial peritonitis
K65.3Choleperitonitis
K65.4Sclerosing mesenteritis
K65.8Other peritonitis
K65.9Peritonitis, unspecified
K67Disorders of peritoneum in infectious diseases classified elsewhere
K68.12Psoas muscle abscess
K68.19Other retroperitoneal abscess
P77.1Stage 1 necrotizing enterocolitis in newborn
P77.2Stage 2 necrotizing enterocolitis in newborn
P77.3Stage 3 necrotizing enterocolitis in newborn
P77.9Necrotizing enterocolitis in newborn, unspecified
P78.0Perinatal intestinal perforation
Q40.0Congenital hypertrophic pyloric stenosis
Q41.0Congenital absence, atresia and stenosis of duodenum
Q41.1Congenital absence, atresia and stenosis of jejunum
Q41.2Congenital absence, atresia and stenosis of ileum
Q41.8Congenital absence, atresia and stenosis of other specified parts of small intestine
Q41.9Congenital absence, atresia and stenosis of small intestine, part unspecified
Q42.0Congenital absence, atresia and stenosis of rectum with fistula
Q42.1Congenital absence, atresia and stenosis of rectum without fistula
Q42.2Congenital absence, atresia and stenosis of anus with fistula
Q42.3Congenital absence, atresia and stenosis of anus without fistula
Q42.8Congenital absence, atresia and stenosis of other parts of large intestine
Q42.9Congenital absence, atresia and stenosis of large intestine, part unspecified
Q43.1Hirschsprung's disease
Q43.2Other congenital functional disorders of colon
Q43.3Congenital malformations of intestinal fixation