K57Not billable, use a more specific code below

Diverticular disease of intestine

In Other diseases of intestines (K55-K64), chapter 11: Diseases of the Digestive System

24 billable codes under K57: 12 are an MCC, 8 are a CC; none map to an HCC.A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment.

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Instructional notes

Excludes1: not coded here, use a different code

  • congenital diverticulum of intestine (Q43.8)
  • Meckel's diverticulum (Q43.0)

Excludes2: not included here, code separately if applicable

  • diverticulum of appendix (K38.2)

Code also: add a code for this too, order depends on the encounter

  • if applicable:
  • pelvic abscess (K6A.0-)
  • peritonitis (K65.-)

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

There are no chapter-specific rules for Chapter 11 yet, so the general rules in Section I.B apply.

Read Section I.C.11 (page 58)

All codes under K57

K57 can't be used on a claim. Pick a billable code below; grey headings group them.

K57 MS-DRGs

As the principal diagnosis, the billable codes under K57 group to MS-DRG 377, 378, 379, 391, or 392 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

Other codes that refer to K57

Notes on these codes point to K57.

  • K65 Code Also: if applicable diverticular disease of intestine (K57.-)
  • K6A.0 Code Also: diverticular disease of intestine (K57.-)
  • K92.2 Excludes1: diverticular disease with hemorrhage (K57.-)

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Diverticulosis and Diverticulitis

Diverticula are small pouches, or sacs, that bulge outward through weak spots in your colon. They mostly form in the lower part of the colon. Diverticulosis is a condition in which you have these pouches. Most people who have diverticulosis do not have symptoms or problems. But sometimes the pouches can cause symptoms or become inflamed.

Read more about diverticulosis and diverticulitis on MedlinePlus

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.