Diverticular Disease ICD-10-CM Codes

Explore ICD-10 codes for diverticular disease, including clinical aspects, relevant synonyms, diagnosis guidelines, and complications such as diverticulitis.

By Olivia Sayson on May 21, 2025.

Fact Checked by Gale Alagos.

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Diverticular Disease ICD-10-CM Codes

What ICD-10 codes are used for diverticular disease?

Diverticular disease encompasses conditions where pouches (diverticula) form in the colon's wall. Recognizing its ICD codes is crucial for appropriate diagnosis and management. Here are some Diverticular Disease ICD codes:

  • K57.30: Diverticulosis of large intestine without perforation or abscess without bleeding
  • K57.32: Diverticulitis of large intestine without perforation or abscess without bleeding
  • K57.50: Diverticular disease of both small intestine and large intestine without perforation or abscess, without bleeding
  • K57.90: Diverticulosis of intestine, part unspecified, without bleeding
  • K57.92: Diverticulitis of intestine, part unspecified, without perforation or abscess, without bleeding

Utilizing these diverticular disease of intestine ICD codes ensures an accurate representation of the disease's spectrum, as well as other diseases.

Which diverticular disease ICD codes are billable?

  • K57.30: Yes, used when diverticula are present without associated complications.
  • K57.32: Yes, it denotes the inflammation of the diverticula.
  • K57.50: Yes, when diverticular disease affects both small and large intestines.
  • K57.90: Yes, for general cases of diverticulosis without specifics on location.
  • K57.92: Yes, indicating diverticulitis without specifying the affected intestinal part.

Clinical information

Diverticular disease is a prevalent condition within the digestive system, characterized by the formation of small pouches (diverticula) in the colon wall, similar to other digestive disorders. While often asymptomatic, it can lead to various symptoms and complications.

  • Prevalence and demographics: It typically affects older adults but can also occur in younger individuals.
  • Symptoms: May remain asymptomatic or present with abdominal pain, nausea, and changes in bowel habits.
  • Complications: Inflammation of diverticula, known as diverticulitis, can lead to severe complications, including perforation or abscess formation.
  • Dietary management: High-fiber diets are recommended to reduce risk and aid in management.
  • Diagnostics: Often involve colonoscopy or imaging studies to assess the extent of the disease.
  • Treatment: Varies from dietary modifications and antibiotics to surgical interventions in severe cases.

It's important to differentiate diverticular disease from other conditions like gastroenteritis and irritable bowel syndrome, a functional intestinal disorder affecting the digestive system. While both can present with similar symptoms, their pathophysiology and management differ.

Diverticular disease falls under specific diagnostic-related groups (DRGs) for reimbursement purposes in healthcare management. Accurate coding and documentation are essential for appropriate healthcare delivery and billing.

Synonyms include:

  • Diverticulosis
  • Colonic diverticulitis
  • Intestinal diverticulum disease
  • Colon pouches
  • Diverticular inflammation

Frequently asked questions

What causes diverticulitis in a patient?

Diverticulitis occurs when diverticula—small pouches that form in weak spots of the colon wall—become inflamed or infected. This inflammation can lead to severe diverticulitis and is often due to trapped stool or bacteria within the diverticula, leading to infection and subsequent inflammation.

What are the symptoms of diverticulitis, especially in mild cases?

Common symptoms include sudden abdominal pain, usually in the lower left side, fever, nausea, and changes in bowel habits such as constipation or diarrhea. These signs indicate the presence of inflamed diverticula, particularly in the rectum,  and may suggest an underlying infection.

How is diverticulitis diagnosed, and when is surgery necessary?

Diagnosis often involves a physical examination and imaging tests like back references and a CT scan to identify inflamed or infected diverticula. Blood tests may also be conducted to check for signs of infection.

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