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K52.839 vs K59.3

K52.839 (Microscopic colitis, unspecified) compared with K59.3 (Megacolon, not elsewhere classified), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. K52.839 carries an Excludes1 note covering K59.3: “megacolon (K59.3-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

K52.839Microscopic colitis, unspecifiedK59.3Megacolon, not elsewhere classified
Billing statusBillableNon-billable header

Report instead: K59.31, K59.39

ClassificationK00-K95 — Diseases of the Digestive System (K00-K95)K00-K95 — Diseases of the Digestive System (K00-K95)
DefinitionMicroscopic colitis, unspecified is a billable ICD-10-CM diagnosis code (K52.839).Megacolon, not elsewhere classified is a non-billable ICD-10-CM category code (K59.3).
Includes
noninfective inflammatory bowel disease
Dilatation of colon
Code first
, if applicable (T51-T65) to identify toxic agent

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources