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.
| A54.85 | Gonococcal peritonitis |
| K25.1 | Acute gastric ulcer with perforation |
| K25.2 | Acute gastric ulcer with both hemorrhage and perforation |
| K25.5 | Chronic or unspecified gastric ulcer with perforation |
| K25.6 | Chronic or unspecified gastric ulcer with both hemorrhage and perforation |
| K26.1 | Acute duodenal ulcer with perforation |
| K26.2 | Acute duodenal ulcer with both hemorrhage and perforation |
| K26.5 | Chronic or unspecified duodenal ulcer with perforation |
| K26.6 | Chronic or unspecified duodenal ulcer with both hemorrhage and perforation |
| K27.1 | Acute peptic ulcer, site unspecified, with perforation |
| K27.2 | Acute peptic ulcer, site unspecified, with both hemorrhage and perforation |
| 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 |
| K28.1 | Acute gastrojejunal ulcer with perforation |
| K28.2 | Acute gastrojejunal ulcer with both hemorrhage and perforation |
| K28.5 | Chronic or unspecified gastrojejunal ulcer with perforation |
| K28.6 | Chronic or unspecified gastrojejunal ulcer with both hemorrhage and perforation |
| K50.012 | Crohn's disease of small intestine with intestinal obstruction |
| K50.112 | Crohn's disease of large intestine with intestinal obstruction |
| K50.812 | Crohn's disease of both small and large intestine with intestinal obstruction |
| K50.912 | Crohn's disease, unspecified, with intestinal obstruction |
| K51.012 | Ulcerative (chronic) pancolitis with intestinal obstruction |
| K51.212 | Ulcerative (chronic) proctitis with intestinal obstruction |
| K51.312 | Ulcerative (chronic) rectosigmoiditis with intestinal obstruction |
| K51.412 | Inflammatory polyps of colon with intestinal obstruction |
| K51.512 | Left sided colitis with intestinal obstruction |
| K51.812 | Other ulcerative colitis with intestinal obstruction |
| K51.912 | Ulcerative colitis, unspecified with intestinal obstruction |
| K56.0 | Paralytic ileus |
| K56.1 | Intussusception |
| K56.2 | Volvulus |
| K56.3 | Gallstone ileus |
| K56.41 | Fecal impaction |
| K56.49 | Other impaction of intestine |
| K56.50 | Intestinal adhesions [bands], unspecified as to partial versus complete obstruction |
| K56.51 | Intestinal adhesions [bands], with partial obstruction |
| K56.52 | Intestinal adhesions [bands] with complete obstruction |
| K56.600 | Partial intestinal obstruction, unspecified as to cause |
| K56.601 | Complete intestinal obstruction, unspecified as to cause |
| K56.609 | Unspecified intestinal obstruction, unspecified as to partial versus complete obstruction |
| K56.690 | Other partial intestinal obstruction |
| K56.691 | Other complete intestinal obstruction |
| K56.699 | Other intestinal obstruction unspecified as to partial versus complete obstruction |
| K56.7 | Ileus, unspecified |
| K59.31 | Toxic megacolon |
| K63.1 | Perforation of intestine (nontraumatic) |
| K65.0 | Generalized (acute) peritonitis |
| K65.1 | Peritoneal abscess |
| K65.2 | Spontaneous bacterial peritonitis |
| K65.3 | Choleperitonitis |
| K65.4 | Sclerosing mesenteritis |
| K65.8 | Other peritonitis |
| K65.9 | Peritonitis, unspecified |
| K67 | Disorders of peritoneum in infectious diseases classified elsewhere |
| K68.12 | Psoas muscle abscess |
| K68.19 | Other retroperitoneal abscess |
| P77.1 | Stage 1 necrotizing enterocolitis in newborn |
| P77.2 | Stage 2 necrotizing enterocolitis in newborn |
| P77.3 | Stage 3 necrotizing enterocolitis in newborn |
| P77.9 | Necrotizing enterocolitis in newborn, unspecified |
| P78.0 | Perinatal intestinal perforation |
| Q40.0 | Congenital hypertrophic pyloric stenosis |
| Q41.0 | Congenital absence, atresia and stenosis of duodenum |
| Q41.1 | Congenital absence, atresia and stenosis of jejunum |
| Q41.2 | Congenital absence, atresia and stenosis of ileum |
| Q41.8 | Congenital absence, atresia and stenosis of other specified parts of small intestine |
| Q41.9 | Congenital absence, atresia and stenosis of small intestine, part unspecified |
| Q42.0 | Congenital absence, atresia and stenosis of rectum with fistula |
| Q42.1 | Congenital absence, atresia and stenosis of rectum without fistula |
| Q42.2 | Congenital absence, atresia and stenosis of anus with fistula |
| Q42.3 | Congenital absence, atresia and stenosis of anus without fistula |
| Q42.8 | Congenital absence, atresia and stenosis of other parts of large intestine |
| Q42.9 | Congenital absence, atresia and stenosis of large intestine, part unspecified |
| Q43.1 | Hirschsprung's disease |
| Q43.2 | Other congenital functional disorders of colon |
| Q43.3 | Congenital malformations of intestinal fixation |
