ICD-10 K63.5
Billable / SpecificPolyp of colon
About ICD-10-CM K63.5
ICD-10-CM code K63.5 represents Polyp of colon. This is a billable/specific code in the Digestive System chapter (block K63). The 2026 edition of ICD-10-CM K63.5 became effective on October 1, 2025.
Type 2 Excludes
Not included here, the excluded code is not part of K63.5, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.
- adenomatous polyp of colon (D12.-)
- inflammatory polyp of colon (K51.4-)
- polyposis of colon (D12.6)
Medicare LCD Coverage for K63.5
Local Coverage Determinations (LCDs) from CMS MACs that list K63.5 as a covered diagnosis.
Showing top 10 of 325 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing K63.5.
5 Medicare
CPT Codes Commonly Billed with K63.5
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 45385 Colonoscopy polypectomy — polyps found Gastroenterology
- 43235 Diagnostic EGD — abdominal pain, nausea, vomiting, GERD, gastric ulcer, gastritis, hematemesis, melena, Barrett esophagus, dysphagia, esophagitis, weight loss, iron deficiency anemia, polyp Gastroenterology
- 43249 EGD with dilation — Barrett esophagus, esophageal stricture, esophageal web, gastric outlet obstruction, esophageal polyp, gastric polyp Gastroenterology
- 45378 Diagnostic colonoscopy — colorectal screening, family hx colon cancer, polyp, melena, iron def anemia, diverticulosis, ulcerative colitis, Crohn, occult blood, rectal polyp, weight loss, IBS Gastroenterology
- 45380 Colonoscopy with biopsy — colon polyp, neoplasm of colon, melena, iron deficiency anemia, screening, personal hx polyps, UC, occult blood Gastroenterology
- 45385 Colonoscopy with polypectomy snare — colon polyps all sites, screening, personal/family hx polyps/cancer Gastroenterology
- 45381 Colonoscopy with directed submucosal injection — polyp removal facilitation, same dx as polypectomy Gastroenterology
- 45384 Colonoscopy with hot biopsy forceps polypectomy — small polyp removal Gastroenterology
- 91113 CMS LCD: Billing and Coding: Colon Capsule Endoscopy (CCE) CMS LCD
Convert K63.5 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| K63.5 | 2113 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To K63.5
Other codes in section K55-K64 (Other diseases of intestines).
ICD-10 K63.5, Billing FAQ
Is ICD-10 code K63.5 billable? +
Yes, K63.5 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What codes are Type 2 Excludes for K63.5? +
Type 2 Excludes (may be coded together when both conditions exist): adenomatous polyp of colon (D12.-); inflammatory polyp of colon (K51.4-); polyposis of colon (D12.6)
What CPT codes are commonly billed with K63.5? +
Procedures frequently paired with K63.5 include: 45385, 43235, 43249, 45378, 45380.
What ICD-9 codes does K63.5 map to? +
Per CMS GEMs, K63.5 maps to ICD-9 codes: 2113. 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 July 16, 2026.
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