K38

Non-Billable
ChapterK00–K95
Rankcategory
Official Description

Other diseases of appendix

Metadata & Insights
  • Non-billable category (requires more specific sub-code).
  • Chapter 11: Diseases of the Digestive System (K00-K95).

CH11 Parent Instructions

Excludes2(Not included here. Code separately if applicable.)
  • 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)

Clinical Hierarchy

BillableHas subcodes
CH11Diseases of the digestive system (K00-K95)
K35-K38Diseases of appendix (K35-K38)
K38Other diseases of appendixNot billable
K38.0Hyperplasia of appendixBillable
K38.1Appendicular concretionsBillable
K38.2Diverticulum of appendixBillable
K38.3Fistula of appendixBillable
K38.8Other specified diseases of appendixBillable
K38.9Disease of appendix, unspecifiedBillable

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to K38:

chapterCH11
Diseases of the digestive system (K00-K95)
View context instructions

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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