ICD-10 K50.813
Crohn's disease of both small and large intestine with fistula
ICD10
K50.813
Diseases of the digestive system
Description
Crohn's disease of both small and large intestine with fistula
Documentation Requirements
- Document clinical indications and clear medical necessity supporting the encounter or procedure.
- Ensure complete provider signatures, credentials, date, and specific place of service (POS).
- Verify documentation strictly supports code specificity to prevent downcoding or claim denials.
Billing & Coding Tips
- Verify current payer fee schedules, NCCI edits, and Medically Unlikely Edits (MUEs).
- Append correct modifiers (e.g., 25, 59, 26, TC) where distinct procedural services or components apply.
- Confirm pre-authorization rules with Medicare, Medicaid, and commercial plans before submission.
Related Codes
K50 K50.0 K50.00 K50.01 K50.011 K50.012 K50.013 K50.014 K50.018 K50.019 K50.1 K50.10 K50.11 K50.111 K50.112
Quantum Health Services provides full-cycle revenue cycle management and medical billing services nationwide. This code reference is for educational purposes; always verify official payer policies. CPT© descriptors require proper AMA licensing.