ICD-10 K63.81
Billable / Specific MCCDieulafoy lesion of intestine
About ICD-10-CM K63.81
ICD-10-CM code K63.81 represents Dieulafoy lesion of intestine. This is a billable/specific code in the Digestive System chapter (block K63). The 2026 edition of ICD-10-CM K63.81 became effective on October 1, 2025.
Coding Tips for K63.81
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
K63.81 is designated MCC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-MCC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag MCC opportunities during chart review. Failure to capture this code may leave 30 to 80 percent of the inpatient stay revenue unrealized.
Type 2 Excludes
Not included here, the excluded code is not part of K63.81, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.
- Dieulafoy lesion of stomach and duodenum (K31.82)
Inpatient DRG Impact, MCC
codes Dieulafoy lesion of intestine. As a Major Complication/Comorbidity (MCC), this can shift the DRG assignment to a higher-weighted category, substantial reimbursement impact.
Medicare LCD Coverage for K63.81
Local Coverage Determinations (LCDs) from CMS MACs that list K63.81 as a covered diagnosis.
Showing top 10 of 231 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing K63.81.
5 Medicare
CPT Codes Commonly Billed with K63.81
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
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 K63.81 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 |
|---|---|---|
| K63.81 | 56986 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To K63.81
Other codes in section K55-K64 (Other diseases of intestines).
ICD-10 K63.81, Billing FAQ
Is ICD-10 code K63.81 billable? +
Yes, K63.81 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 K63.81? +
Type 2 Excludes (may be coded together when both conditions exist): Dieulafoy lesion of stomach and duodenum (K31.82)
Is K63.81 a CC or MCC for inpatient DRG? +
Yes, this code is designated as MCC. Documenting as a secondary diagnosis on inpatient claims can shift the DRG to a higher-weighted category.
What ICD-9 codes does K63.81 map to? +
Per CMS GEMs, K63.81 maps to ICD-9 codes: 56986. Useful for legacy data review and historical claim analysis.
Get the full PayerReady toolkit
Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.
Start free →Run this code through our claim audit tool
Check NCCI bundling, MUE limits, and modifier logic before submission.
Try the auditor →Did this page help?
Quick signal so we know what to improve.
If you want a code reference page that doesn't exist yet, email coding@payerready.com.
Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.
Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team