InnovaRx Innova Health Strategies

K63.1

Perforation of intestine (nontraumatic)

Billable FY2026 2025-10-01 → 2026-09-30
Exclusions 11 never code together
K63.1code
Excludes1
Excludes2
K00-K95chapter
Excludes2
  • certain conditions originating in the perinatal period (P04-P96)P04-P96
  • certain infectious and parasitic diseases (A00-B99)A00-B99
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)O00-O9A
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)Q00-Q99
  • endocrine, nutritional and metabolic diseases (E00-E88)E00-E88
  • injury, poisoning and certain other consequences of external causes (S00-T88)S00-T88
  • neoplasms (C00-D49)C00-D49
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)R00-R94

Excludes1 — never code together. The excluded condition and this one are mutually exclusive.

Excludes2 — not included here, but the patient may have both. Code both when documented.

Instructional notes 1
K63.1code
Inclusion terms
  • Perforation (nontraumatic) of rectum
Index entries leading here 3
  • Perforation, perforated (nontraumatic) (of)
  • Rupture, ruptured
    • bowel (nontraumatic) K63.1
    • colon (nontraumatic) K63.1
    • intestine NEC (nontraumatic) K63.1
    • rectum (nontraumatic) K63.1
    • sigmoid (nontraumatic) K63.1
  • Ulcer, ulcerated, ulcerating, ulceration, ulcerative
Alongside this code 7 same parent — K63
Additional references
AHA Coding Clinic® Licence required

Official coding advice for this code. Published by the American Hospital Association. Not included in this installation.

Risk adjustment

CMS22HCC33 CMS28HCC78 ESRD21HCC33 ESRD24HCC33

Presence is a property of the code. Untick a model to hide it everywhere.

This code

Billable
yes
Code set
FY2026
Parent
K63
Block
K55-K64
Siblings
7

Present FY2024–FY2027.