ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 K63.2

Billable / Specific CC

Fistula of intestine

K63
Block
0
Synonyms
231
LCDs
12
Payer Policies
0
Linked CPTs

About ICD-10-CM K63.2

ICD-10-CM code K63.2 represents Fistula of intestine. This is a billable/specific code in the Digestive System chapter (block K63). The 2026 edition of ICD-10-CM K63.2 became effective on October 1, 2025.

Coding Tips for K63.2

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

Inpatient DRG impact: CC

K63.2 is designated CC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-CC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag CC opportunities during chart review. Failure to capture this code may leave 30 to 80 percent of the inpatient stay revenue unrealized.

Type 1 Excludes

Pure excludes, these codes can never be coded together with K63.2. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • fistula of duodenum (K31.6)
  • fistula of intestine with Crohn's disease (K50.013, K50.113, K50.813, K50.913,)
  • fistula of intestine with ulcerative colitis (K51.013, K51.213, K51.313, K51.413, K51.513, K51.813, K51.913)

Type 2 Excludes

Not included here, the excluded code is not part of K63.2, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.

  • fistula of anal and rectal regions (K60.-)
  • fistula of appendix (K38.3)
  • intestinal-genital fistula, female (N82.2-N82.4)
  • vesicointestinal fistula (N32.1)

Coding Notes

Code Also

  • , if applicable, disruption of internal operation (surgical) wound (T81.32-)

Inpatient DRG Impact, CC

code Fistula of intestine. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.

Medicare LCD Coverage for K63.2

Local Coverage Determinations (LCDs) from CMS MACs that list K63.2 as a covered diagnosis.

231 LCDs

Showing top 10 of 231 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74170 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74177 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74160 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74178 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74150 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72194 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74176 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72192 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72193 →
CMS LCD: Billing and Coding: Diagnostic Colonoscopy
Article ID: 55937, Effective: 2026-02-04 00:00:00, 244 covered, 1 non-covered
CPT 45398 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing K63.2.

12 policies

5 Medicare

Billing and Coding: Diagnostic Colonoscopy
Policy ID: ART-55937
Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic
Policy ID: ART-56394
Billing and Coding: CT of the Abdomen and Pelvis
Policy ID: ART-56421
Billing and Coding: Infliximab
Policy ID: ART-56432
Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
Policy ID: ART-56456

3 Aetna

Infliximab
Policy ID: CPB-0341
Vitamin B-12 Therapy
Policy ID: CPB-0536
Somatostatin Analogs
Policy ID: CPB-0693

CPT Codes Commonly Billed with K63.2

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for K63.2

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert K63.2 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
K63.2 56981 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 K63.2, Billing FAQ

Is ICD-10 code K63.2 billable? +

Yes, K63.2 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What codes are Type 1 Excludes for K63.2? +

Type 1 Excludes (never code together with K63.2): fistula of duodenum (K31.6); fistula of intestine with Crohn's disease (K50.013, K50.113, K50.813, K50.913,); fistula of intestine with ulcerative colitis (K51.013, K51.213, K51.313, K51.413, K51.513, K51.813, K51.913)

What codes are Type 2 Excludes for K63.2? +

Type 2 Excludes (may be coded together when both conditions exist): fistula of anal and rectal regions (K60.-); fistula of appendix (K38.3); intestinal-genital fistula, female (N82.2-N82.4)

Is K63.2 a CC or MCC for inpatient DRG? +

Yes, this code is designated as CC. Documenting as a secondary diagnosis on inpatient claims can shift the DRG to a higher-weighted category.

What ICD-9 codes does K63.2 map to? +

Per CMS GEMs, K63.2 maps to ICD-9 codes: 56981. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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