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ICD-10-CM 2027

ICD-10 code for ischemic colitis

K55.9

Vascular disorder of intestine, unspecified

✓ Billable / specificCC — complication/comorbidity

From the official ICD-10-CM alphabetic index entry “Colitis (acute) (catarrhal) (chronic) (noninfective) (hemorrhagic) › ischemic”. Page updated September 29, 2026.

About coding ischemic colitis

The ICD-10-CM code for ischemic colitis is K55.9 (Vascular disorder of intestine, unspecified). The official index lists 4 more specific codes, so check the documentation for details such as type, cause, site or severity before settling on K55.9.

Within K55, choose K55.9 (Vascular disorder of intestine, unspecified) only when documentation doesn't support a more specific option: acute vascular disorders of intestine (K55.0), chronic vascular disorders of intestine (K55.1), Angiodysplasia of colon (K55.2), necrotizing enterocolitis (K55.3) and other vascular disorders of intestine (K55.8).

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 ischemic colitis codes (official index)

  • acute (subacute) K55.039 — Acute (reversible) ischemia of large intestine, extent unspecified
  • chronic K55.1 — Chronic vascular disorders of intestine
  • due to mesenteric artery insufficiency K55.1 — Chronic vascular disorders of intestine
  • fulminant (acute) K55.039 — Acute (reversible) ischemia of large intestine, extent unspecified

Common questions about ischemic colitis ICD-10 codes

What is the ICD-10 code for ischemic colitis?

K55.9 — Vascular disorder of intestine, unspecified. More specific codes apply when the documentation supports them: K55.039, K55.1, K55.1, K55.039.

What is the ICD-10 code for acute ischemic colitis?

K55.039 — Acute (reversible) ischemia of large intestine, extent unspecified.

What is the ICD-10 code for chronic ischemic colitis?

K55.1 — Chronic vascular disorders of intestine.

What is the ICD-10 code for fulminant ischemic colitis?

K55.039 — Acute (reversible) ischemia of large intestine, extent unspecified.

Is K55.9 billable?

Yes. K55.9 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can K55.9 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict K55.9 as a principal diagnosis.

Is K55.9 a CC or MCC?

K55.9 is a CC (complication or comorbidity) under MS-DRG v44.0, unless excluded by the principal diagnosis.