Other diseases of digestive system
In Other diseases of the digestive system (K90-K95), chapter 11: Diseases of the Digestive System
6 billable codes under K92: 4 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
- neonatal gastrointestinal hemorrhage (P54.0-P54.3)
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.
All codes under K92
K92 can't be used on a claim. Pick a billable code below; grey headings group them.
K92 MS-DRGs
As the principal diagnosis, the billable codes under K92 group to these 10 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 377 Gastrointestinal Hemorrhage with MCC (3 of 6 codes)
- DRG 378 Gastrointestinal Hemorrhage with CC (3 of 6 codes)
- DRG 379 Gastrointestinal Hemorrhage without CC/MCC (3 of 6 codes)
- DRG 791 Prematurity with Major Problems (3 of 6 codes)
- DRG 793 Full Term Neonate with Major Problems (3 of 6 codes)
- DRG 393 Other Digestive System Diagnoses with MCC (2 of 6 codes)
- DRG 394 Other Digestive System Diagnoses with CC (2 of 6 codes)
- DRG 395 Other Digestive System Diagnoses without CC/MCC (2 of 6 codes)
- DRG 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders with MCC (1 of 6 codes)
- DRG 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC (1 of 6 codes)
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Digestive Diseases
When you eat, your body breaks food down to a form it can use to build and nourish cells and provide energy. This process is called digestion. Your digestive system is a series of hollow organs joined in a long, twisting tube. It runs from your mouth to your anus and includes your esophagus, stomach, and small and large intestines. Your liver, gallbladder and pancreas are also involved. They produce juices to help digestion.
Read more about digestive diseases on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.