K51.412 Inflammatory polyps of colon with intestinal obstruction

Billable ICD-10-CM code, FY2026. Acts as a Complication or Comorbidity (CC) as a secondary diagnosis.

Applies from K51 Ulcerative colitis

Excludes1 (never code together)

• Crohn's disease [regional enteritis] (K50.-)

Use additional code

• code to identify any associated fistulas, if applicable:
• anal fistula (K60.3-)
• anorectal fistula (K60.5-)
• rectal fistula (K60.4-)
• code to identify manifestations, such as:
• pyoderma gangrenosum (L88)

Applies from K51.4 Inflammatory polyps of colon

Excludes2 (not included here)

• adenomatous polyp of colon (D12.6)
• polyposis of colon (D12.6)
• polyps of colon NOS (K63.5)

Risk adjustment (HCC)

• CMS-HCC V28: HCC 81 — Ulcerative Colitis
• CMS-HCC V22: HCC 35 — Inflammatory Bowel Disease
• ESRD V24: HCC 35

MS-DRG index

Defines the logic of DRG(s) 385-387 in MDC 06.

Approximate ICD-9-CM (GEMs)

• 556.4 Pseudopolyposis of colon (approximate)
• 560.89 Other specified intestinal obstruction (approximate)

Code annotations containing back-references to K51.412

Back-references to K51.4

• Type 2 Excludes: D12.6 Benign neoplasm of colon, unspecified ("inflammatory polyp of colon (K51.4-)")
• Type 2 Excludes: K63.5 Polyp of colon ("inflammatory polyp of colon (K51.4-)")

Back-references to K51

• Code First: F54 Psychological and behavioral factors associated with disorders or diseases classified elsewhere ("ulcerative colitis (K51.-)")
• Type 1 Excludes: K50 Crohn's disease [regional enteritis] ("ulcerative colitis (K51.-)")
• Code First: K60.3 Anal fistula ("ulcerative colitis (K51.-)")
• Code First: K60.4 Rectal fistula ("ulcerative colitis (K51.-)")
• Code First: K60.5 Anorectal fistula ("ulcerative colitis (K51.-)")
• Type 1 Excludes: K62.6 Ulcer of anus and rectum ("ulcerative colitis (K51.-)")
• Type 1 Excludes: K63.3 Ulcer of intestine ("ulcerative colitis (K51.-)")
• Code Also: M07 Enteropathic arthropathies ("ulcerative colitis (K51.-)")
• Code Also: M08 Juvenile arthritis ("ulcerative colitis (K51.-)")

Diagnosis Index entries for K51.412

• Polyp, polypus › colon › inflammatory › with › intestinal obstruction

Nearby codes

• K51.319 Ulcerative (chronic) rectosigmoiditis with unspecified complications
• K51.4 Inflammatory polyps of colon
• K51.40 Inflammatory polyps of colon without complications
• K51.41 Inflammatory polyps of colon with complications
• K51.411 Inflammatory polyps of colon with rectal bleeding
• K51.412 Inflammatory polyps of colon with intestinal obstruction (this code)
• K51.413 Inflammatory polyps of colon with fistula
• K51.414 Inflammatory polyps of colon with abscess
• K51.418 Inflammatory polyps of colon with other complication
• K51.419 Inflammatory polyps of colon with unspecified complications
• K51.5 Left sided colitis