Coding and coverage · ICD-10-CM

K55 › K55.0 › K55.06

K55.061 Focal (segmental) acute infarction of intestine, part unspecified

BillableNo payment HCCChapter 11

Instructional notes

Chapter 11

Excludes2Not included here: the patient may have both; report both when both are present.
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

K55

Excludes1Not coded here: never report with this code, except when the two conditions are unrelated.
  • necrotizing enterocolitis of newborn (P77.-)
Excludes2Not included here: the patient may have both; report both when both are present.
  • angioectasia (angiodysplasia) duodenum (K31.81-)

K55.0

Inclusion terms
  • Infarction of appendices epiploicae
  • Mesenteric (artery) (vein) embolism
  • Mesenteric (artery) (vein) infarction
  • Mesenteric (artery) (vein) thrombosis

K55.06

Inclusion terms
  • Acute intestinal infarction
  • Gangrene of intestine
  • Necrosis of intestine

Chapter 11: Diseases of the digestive system · K55-K64 Other diseases of intestines (K55-K64)

Source: ICD-10-CM FY 2027 code descriptions and tabular list (CMS and CDC National Center for Health Statistics), effective 2026-10-01 through 2027-09-30 · CMS ICD-10 files. HCC mapping: CMS-HCC V28, payment year 2027. As of 2026-11-04.

Coverage and payment depend on the claim details; confirm with the Medicare Administrative Contractor.