Crosswalk Between ICD-9 and ICD-10: Top 100 Colon and Rectal Codes

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1 ICD-9 Code Crosswalk Between ICD-9 and ICD-10: Top 100 Colon and Rectal Codes Description ICD-10 Crosswalk Description Hemorrhage of Rectum & Anus K62.5 Hemorrhage of Rectum and Anus Anal Fissure K60.0 Acute Anal Fissure K60.1 Chronic Anal Fissure K60.2 Anal Fissure, unspecified Special Screening for Malignant 3 V76.51 Neoplasms, Colon Z12.11 Encounter for Screening for Malignant Neoplasm of Colon Unspecified Hemorrhoids with Other Complications K64.0 First Degree Hemorrhoids K64.1 Second Degree Hemorrhoids K64.2 Third Degree Hemorrhoids K64.3 Fourth Degree Hemorrhoids K64.4 Other Hemorrhoids K Anal Fistula K60.3 Acute Anal Fistula K60.4 Chronic Anal Fistula K60.5 Anal Fistula, unspecified Personal History of Colonic 6 V12.72 Polyps Z Personal History of Colonic Polyps Benign Neoplasm of Colon (Polyps) D12.0 Benign neoplasm of Cecum D12.1 Benign neoplasm of Appendix D12.2 Benign neoplasm of Ascending Colon D12.3 Benign neoplasm of transverse Colon D12.4 Benign neoplasm of Descending Colon D12.5 Benign neoplasm of Sigmoid Colon D12.6 Benign neoplasm of Colon, Unspecified K63.5 Polyp of Colon Internal Hemorrhoids with Other Complications K64.0 First Degree Hemorrhoids K64.1 Second Degree Hemorrhoids K64.2 Third Degree Hemorrhoids

2 K64.3 Fourth Degree Hemorrhoids K64.8 Other Hemorrhoids Anal or Rectal Pain K62.89 Other Specified Diseases of Anus and Rectum Pruritus Ani L29.0 Pruritus Ani Internal Hemorrhoids w/o Other Complications K64.0 First Degree Hemorrhoids K64.1 Second Degree Hemorrhoids K64.2 Third Degree Hemorrhoids K64.3 Fourth Degree Hemorrhoids K64.8 Other Hemorrhoids Abdominal Pain, Unspecified Site R10.0 Acute Abdomen R10.9 Unspecified Abdominal Pain Abscess of Anal & Rectal Regions K Crohn's disease of Small Intestine with Abscess K Crohn's disease of Large Intestine with Abscess K Crohn's disease of Both Small & Large Intestine w/ Abscess K Crohn's disease, Unspecified, with Abscess K61.0 Anal Abscess K61.1 Rectal Abscess K61.2 Anorectal Abscess K61.3 Ischiorectal Abscess K61.4 Intrasphincteric Abscess Diverticulosis of Lg Intestine w/o Perforation or Abscess w/o Diverticulosis of Colon K57.30 bleeding Diverticulosis of Both Small & Lg Intestine w/o Perforation or K57.50 Abscess w/o bleeding Diverticulosis of Intestine, part unspecified, w/o Perforation K57.90 or Abscess w/o bleeding Unspecified Constipation K59.00 Constipation, Unspecified Diverticulitis of Lg Intestine w Perforation & Abscess w/o Diverticulitis of Colon K57.20 bleeding 16

3 Diverticulitis of Lg Intestine w/o Perforation or Abscess w/o K57.32 bleeding Diverticulitis of Both Small & Lg Intestine w Perforation & K57.40 Abscess w/o bleeding Diverticulitis of Both Small & Lg Intestine w/o Perforation or K57.52 Abscess w/o bleeding Diverticulitis of Intestine, part unspecified, w Perforation & K57.80 Abscess w/o bleeding Diverticulitis of Intestine, part unspecified, w/o Perforation or K57.92 Abscess w/o bleeding Full Incontinence of Feces R15.9 Full Incontinence of Feces External Thrombosed Hemorrhoids K64.5 Perianal Venous Thrombosis Residual Hemorrhoidal Skin Tags K64.4 Residual Hemorrhoidal Skin Tags Other Constipation K59.09 Other Constipation Personal Hx Malig Neoplasm Rectum, Rectosigmoid Junction & Personal Hx of Malig Neoplasm of Rectum, Rectosigmoid 21 V10.06 Anus Z Junction & Anus Family Hx Malig Neoplasm 22 V16.0 Gastrointestinal Tract Z80.0 Family Hx of Malig Neoplasm of Digestive Organs Condyloma Acuminatum A63.0 Anogenital (venereal) Warts Malignant Neoplasm of Rectum C20 Malignant Neoplasm of Rectum Unspecified Hemorrhoids w/o Complications K64.0 First Degree Hemorrhoids K64.1 Second Degree Hemorrhoids K64.2 Third Degree Hemorrhoids K64.3 Fourth Degree Hemorrhoids K64.9 Unspecified Hemorrhoids Diarrhea K52.2 Allergic & Dietetic Gastroenteritis and Colitis K52.89 Other specified Noninfective Gastroenteritis and Colitis R19.7 Diarrhea, unspecified Benign Neoplasm of Rectum & Anal Canal D12.7 Benign Neoplasm of Rectosigmoid Junction

4 D12.8 Benign Neoplasm of Rectum D12.9 Benign Neoplasm of Anus & Anal Canal Anal Spasm K59.4 Anal Spasm Other Symptoms Involving Digestive System R19.4 Change in Bowel Habit Other Symptoms & Signs involving the Digestive System and R19.8 Abdomen Pilonidal Cyst w/o mention of Abscess L05.91 Pilonidal Cyst without Abscess L05.92 Pilonidal Sinus without Abscess Unspecified Hemorrhage of Gastrointestinal Tract K92.2 Gastrointestinal Hemorrhage, unspecified Personal History Malig Neoplasm 32 V10.05 of Large Intestine Z Personal History of Malignant Neoplasm of Large Intestine Blood in Stool K92.1 Melena Other specified Disorder of Rectum & Anus K62.7 Radiation Proctitis K62.89 Other Specified Diseases of Anus and Rectum K62.9 Disease of Anus & Rectum, unspecified 35 V55.2 Attention to Ileostomy Z43.2 Encounter for Attention to Ileostomy Nonspecific Abnormal Finding Radiation & Other Exam Abnormal Findings on Diagnostic Imaging of Abdominal Abdominal Area R93.5 Regions, including Retroperitoneal Unspecified Ulcerative Colitis K51.90 Ulcerative Colitis, unspecified, without Complications K Ulcerative Colitis, unspecified with Rectal Bleeding K Ulcerative Colitis, unspecified with Intestinal Obstruction K Ulcerative Colitis, unspecified with Fistula K Ulcerative Colitis, unspecified with Abscess K Ulcerative Colitis, unspecified with Other Complications K Ulcerative Colitis, unspecified with unspecified Complications Rectocele w/o mention of Rectal Prolapse N81.6 Rectocele 39 V18.51 Family Hx of Colonic Polyps Z83.71 Family Hx of Colonic Polyps

5 Encntr for F/U Exam aftr trtmt for condition other than Malig 40 V67.00 F/U exam following Unspec Sx Z09 Neoplasm Incisional Hernia w/o mention Obstruction/Gangrene K43.2 Incisional Hernia w/o Obstruction or Gangrene Rectal Prolapse K62.2 Anal Prolapse K62.3 Rectal Prolapse Unspec Intestinal Obstruction K Crohn's Disease of Small Intestine w/intestinal Obstruction K Crohn's Disease of Lg Intestine w/intestinal Obstruction K Crohn's Disease of both Sm & Lg Intestinal w/obstruction K Crohn's Disease, Unspec,w/Unspec Intestinal Obstruction K56.60 Unspecified Intestinal Obstruction Digestive-Genital Tract Fistula, Female N82.2 Fistula of Vagina to Small Intestine N82.3 Fistula of Vagina to Large Intestine N82.4 Other Female Intestinal-Genital Tract Fistula Stenosis of Rectum & Anus K62.4 Stenosis of Rectum and Anus 46 v55.3 Attention to Colostomy Z43.3 Encounter for Attention to Colostomy Pilonidal Cyst with Abscess L05.01 Pilonidal Cyst with Abscess L05.02 Pilonidal Sinus with Abscess Irritable Bowel Syndrome K58.0 Irritable Bowel Syndrome with Diarrhea K58.9 Irritable Bowel Syndrome without Diarrhea Regional Enteritis of Lg Intestine K50.10 Crohn's Disease of Lg Intestine without Complications K Crohn's Disease of Lg Intestine with Rectal Bleeding K Crohn's Disease of Lg Intestine w/intestinal Obstruction K Crohn's Disease of Lg Intestine with Fistula K Crohn's Disease of Lg Intestine with Abscess K Crohn's Disease of Lg Intestine w/ Other Complications K Crohn's Disease of Lg Intestine w/unspec Complications Effects of Radiation, Unspecified T66.XXXA Radiation Sickness, Unspecified, Initial Encounter

6 Crosswalk Between ICD-9 and ICD-10: Top 100 Colon and Rectal Codes Regional Enteritis Small Intestine w/lg Intestine K50.80 Crohn's disease of both small and lg int w/o complications K Crohn's disease of both small and lg int w/rectal bleeding Crohn's disease of both small and lg int w/intestinal K obstruction K Crohn's disease of both small and lg int w/fistula K Crohn's disease of both small and lg int w/abscess Crohn's disease of both small and lg int w/other K complications Crohn's disease of both small and lg int w/unspecified K complications Malignant Neoplasms of the Sigmoid Colon C18.7 Malignant neoplasms of the sigmoid colon Malignant Neoplasms of the Ascending Sigmoid Colon C18.2 Malignant neoplasms of the ascending colon Regional Enteritis of Small Intestine K50.00 Crohn's disease of small intestine w/o complications K Crohn's disease of small intestine w/rectal bleeding K Crohn's disease of small intestine w/intestinal obstruction K Crohn's disease of small intestine w/fistula K Crohn's disease of small intestine w/abscess K Crohn's disease of small intestine w/other complications Crohn's disease of small intestine w/unspecified K complications Malignant Neoplasm of Anal Canal C21.1 Malignant neoplasm of anal canal Malignant Neoplasm of Colon Unspec Site C18.9 Malignant neoplasm of colon unspecified Fistula of Intestine Excluding Rectum/Anus K Crohn's disease of small intestine w/fistula K Crohn's disease of large intestine w/fistula K Crohn's disease of both small and lg int w/fistula K Crohn's disease, unspecified, w/fistula K Ulcerative (chronic) pancolitis w/fistula

7 K Ulcerative (chronic) proctlitis w/fistula K Ulcerative (chronic) rectosigmoiditis w/fistula K Inflammatory polyps of colon w/fistula K Left sided colitis w/fistula K Other ulcerative colitis with fistula K Ulcerative colitis, unspecified, with fistula K63.2 Fistula of intestine Abdominal/Pelvic Swelling Intra-abdominal and Pelvic Swelling Mass and Lump, Mass/Lump, Unspecified Site R19.00 Unspec Site Endometriosis of Pelvic Peritoneum N80.3 Endometriosis of Pelvic Peritoneum Endometriosis of Intestine N80.5 Endometriosis of Intestine Mechanical Complication of Colostomy & Enterostomy K94.03 Colostomy malfunction K94.13 Enterostomy malfunction Peritoneal Adhesions K66.0 Peritoneal adhesions (postprocedural) (postinfection) N99.4 Postprocedural pelvic peritoneal adhesions Malignant Neoplasm of Cecum C18.0 Malignant Neoplasm of Cecum Intestinovesical Fistula N32.1 Vesicointestinal Fistula Unspecified Anemia D64.9 Anemia, Unspecified Cellulitis and Abscess of Trunk L Cutaneous Abscess of Abdominal Wall L Cutaneous Abscess of Back (any part, except Buttock) L Cutaneous Abscess of Chest Wall L Cutaneous Abscess of Groin L Cutaneous Abscess of Perineum L Cutaneous Abscess of Umbilicus L Cutaneous Abscess of Trunk, Unspecified L Cellulitis of Abdominal Wall L Cellulitis of Back (any part, except Buttock) L Cellulitis of Chest Wall L Cellulitis of Groin L Cellulitis of Perineum L Cellulitis of Umbilicus

8 L Cellulitis of Trunk, Unspecified L Acute Lymphangitis of Abdominal Wall L Acute Lymphangitis of Back (any part, except Buttock) L Acute Lymphangitis of Chest Wall L Acute Lymphangitis of Groin L Acute Lymphangitis of Perineum L Acute Lymphangitis of Umbilicus L Acute Lymphangitis of Trunk, Unspecified Malignant Neoplasm of Transverse Colon C18.4 Malignant Neoplasm of Transverse Colon Peritoneal Abscess K65.1 Peritoneal Abscess Malignant Neoplasm of Rectosigmoid Junction C19 Malignant Neoplasm of Rectosigmoid Junction Malignant Neoplasm of Descending Colon C18.6 Malignant Neoplasm of Descending Colon Other Impaction of Intestine K56.49 Other impaction of intestine Nonspecific Abnormal Finding Abnormal Findings on Diagnostic Imaging of Portion of Radiation & Other Exam GI Tract R93.3 Digestive Tract Dysplasia of the Anus K62.82 Dysplasia of the Anus Dehydration E86.0 Dehydration Other Complications of Colostomy or Enterostomy K94.01 Colostomy hemorrhage K94.09 Other complications of colostomy K94.11 Enterostomy hemorrhage K94.19 Other complications of Enterostomy Non-Healing Surgical Wound T81.89XA Other Complications of Procedures, NEC, Initial Other & Unspec Noninfectious Gastroenteritis & Colitis K52.89 Other specified Noninfective Gastroenteritis and Colitis K52.9 Noninfective Gastroenteritis and Colitis, Unspecified Perforation of Intestine K63.1 Perforation of Intestine (nontraumatic) Intestinal or Peritoneal Adhesions Intestinal Adhesions w/obstruction (postprocedural) with Obstruction K56.5 (postinfection) Hydradenitis L73.2 Hydradenitis Suppurativa

9 Umbilical Hernia w/o Mention of Obstruction/Gangrene K42.9 Umbilical Hernia w/o Obstruction or Gangrene Unspec Local Infection Skin & Subcutaneous Tissue L08.9 Local Infection of the Skin & Subcutaneous Tissue, Unspec Nausea with Vomiting R11.2 Nausea with Vomiting, Unspecified Human Immunodeficiency Virus (HIV) B20 Human Immunodeficiency Virus (HIV) Disease Abdominal Pain, Other Spec Site R10.10 Upper Abdominal Pain, Unspecified R10.2 Pelvic and Perineal Pain R10.30 Lower Abdominal Pain, Unspecified Nonspecific Abnormal Finding in Stool Contents R19.5 Other Fecal Abnormalities Morbid Obesity E66.01 Morbid (Severe) Due to Excess Calories Abdominal Pain, Left Lower Quadrant R10.32 Left Lower Quadrant Pain Unspec Iron Def Anemia D50.9 Iron Deficiency Anemia, Unspecified Unspec Vascular Insufficiency of Intestine K55.8 Other Vascular Disorders of Intestine K55.9 Vascular Disorder of Intestine, Unspecified Anemia in Neoplastic Disease D63.0 Anemia in Neoplastic Disease Other Ulcerative Colitis K51.80 Other Ulcerative Colitis without Complications K Other Ulcerative Colitis with Rectal Bleeding K Other Ulcerative Colitis with Intestinal Obstruction K Other Ulcerative Colitis with Fistula K Other Ulcerative Colitis with Abscess K Other Ulcerative Colitis with Other Complication K Other Ulcerative Colitis with Unspecified Complications Intestinal Infections due to Clostridium Difficile A04.7 Enterocolitis due to Clostridium Difficile Malignant Neoplasm of Anus, Unspec Site C21.0 Malignant Neoplasm of Anus, Unspecified ndary Malig Neoplsm of Liver C78.7 2ndary Malig Neoplsm of Liver and Intrahepatic Bile Duct Unspecified Complication Colostomy/Enterostomy K94.00 Colostomy Complication, Unspecified

10 K94.10 Enterostomy Complication, Unspecified Pouchitis K Pouchitis Sebaceous Cyst L72.0 Epidermal Cyst L72.2 Steatocystoma Multiplex L72.3 Sebaceous Cyst L72.8 Other Follicular Cysts of the Skin & Subcutaneous Tissue L72.9 Follicular Cyst of the Skin & Subcutaneous Tissue, Unspec Neoplasms Unspec Nature Bone, Soft Tissue, & Skin D49.2 Neoplasm of Unspecified Nature Bone, Soft Tissue, & Skin Ulcer of Anus and Rectum K62.6 Ulcer of Anus and Rectum Personal Hx Other Diseases 101 V12.79 Digestive Diseases Z87.19 Personal Hx of Other Diseases of the Digestive System Internal Thrombosed Hemorrhoids K64.0 First Degree Hemorrhoids K64.1 Second Degree Hemorrhoids K64.2 Third Degree Hemorrhoids K64.3 Fourth Degree Hemorrhoids K64.8 Other Hemorrhoids Malignant Neoplasm of Ovary C56.1 Malignant Neoplasm of Right Ovary C56.2 Malignant Neoplasm of Left Ovary C56.9 Malignant Neoplasm of Unspecified Ovary Disseminated Malig Neoplasm C80.0 Disseminated Malignant Neoplasm, Unspecified Obesity, Unspecified E66.09 Other Obesity due to Excessive Calories E66.1 Drug-Induced Obesity E66.8 Other Obesity E66.9 Obesity, Unspecified This crosswalk between ICD-9 and ICD-10 was developed by members of ASCRS to assist with some of the most common colon and rectal codes. Accurate coding is the responsibility of the provider. This crosswalk is intended only as a resource to assist in the billing process.

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