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ICD-10-CM 2027

ICD-10 code for colon dilatation

K59.39

Other megacolon

✓ Billable / specificCC — complication/comorbidity

From the official ICD-10-CM alphabetic index entry “Dilatation › colon”. Page updated September 29, 2026.

About coding colon dilatation

The ICD-10-CM code for colon dilatation is K59.39 (Other megacolon). The official index lists 3 more specific codes, so check the documentation for details such as type, cause, site or severity before settling on K59.39.

Within K59.3, choose K59.39 (Other megacolon) only when documentation doesn't support a more specific option: toxic megacolon (K59.31).

As a secondary diagnosis it is a CC (complication or comorbidity), which can move an inpatient stay into the "with CC" MS-DRG of its family, unless the principal diagnosis excludes it.

In MS-DRG v44.0, it is part of the grouping logic for DRG 393 (Other Digestive System Diagnoses with MCC, relative weight 1.5881), DRG 394 (Other Digestive System Diagnoses with CC, relative weight 0.9228) and DRG 395 (Other Digestive System Diagnoses without CC/MCC, relative weight 0.6382), in MDC 06 (Diseases and Disorders of the Digestive System), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

More specific colon dilatation codes (official index)

  • congenital Q43.1 — Hirschsprung's disease
  • psychogenic F45.8 — Other somatoform disorders
  • toxic K59.31 — Toxic megacolon

Common questions about colon dilatation ICD-10 codes

What is the ICD-10 code for colon dilatation?

K59.39 — Other megacolon. More specific codes apply when the documentation supports them: Q43.1, F45.8, K59.31.

What is the ICD-10 code for congenital colon dilatation?

Q43.1 — Hirschsprung's disease.

What is the ICD-10 code for psychogenic colon dilatation?

F45.8 — Other somatoform disorders.

What is the ICD-10 code for toxic colon dilatation?

K59.31 — Toxic megacolon.

Is K59.39 billable?

Yes. K59.39 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can K59.39 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict K59.39 as a principal diagnosis.

Is K59.39 a CC or MCC?

K59.39 is a CC (complication or comorbidity) under MS-DRG v44.0, unless excluded by the principal diagnosis.