K52.0 ICD-10-CM Code: Gastroenteritis and colitis due to radiation
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Coding at a Glance
- Tabular directives
- 1 inclusion term · 2 Excludes1
Inpatient Payment Groups (MS-DRG)
Potential MS-DRG participation — not a DRG assignment.
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v44, Appendix B.
- MS-DRG 393 — OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC (MDC 06)
- MS-DRG 394 — OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC (MDC 06)
- MS-DRG 395 — OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC (MDC 06)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Coding instructions
Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for K52.0 in the official ICD-10-CM tabular list, quoted as published.
Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2027Effective: October 1, 2026
Trace:FY2027 changesChange historyRelease, file and checksum
Notes without a marker are published on K52.0 itself; “inherited from” names the category or block whose note applies here.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- noninfective inflammatory bowel disease
Source: inherited from K50-K52
Excludes1 — Not Coded Here
Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
- irritable bowel syndrome (K58.-) Compare K52.0 vs K58 →
- megacolon (K59.3-) Compare K52.0 vs K59.3 →
Source: inherited from K50-K52
Coder workflow for K52.0
MedCoder structured workflow — derived from this code’s own official record
Before you code K52.0
- K52.0’s title joins a condition with an associated condition or complication. Confirm each component is documented. Where the classification presumes the link through the “with” convention, only a provider statement that the conditions are unrelated defeats it. A combination code is assigned only when it fully identifies the documented conditions; a required second code for the stage, type or manifestation is still reported when the notes ask for it (Guidelines I.B.9, I.A.15).
- Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with K52.0. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).
Choose the right path
- Does the documentation support a condition named in K52.0’s Excludes1 note?
Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
No → Continue.
Consider K52.0. Then confirm the code is valid for the date of service in the Verify section.
Documentation check
- The provider’s diagnostic statement
- Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
- The associated condition or complication
- Whether the associated condition the title names is documented; the “with” convention presumes some links, and a provider statement that the conditions are unrelated defeats it (Guidelines I.A.15).
Official instructions as workflow
Excludes1 — check before selecting K52.0(2 notes)
Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with K52.0: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.
See the official tabular notes · Guidelines I.A.12.a
Coding decision scenarios
Pattern scenarios for this code’s structure — decision rules, not clinical cases
Documentation: Both the condition K52.0 describes and a condition named in its Excludes1 note are documented for the same encounter.
Coding question: Can both codes be reported?
Path: Review the Excludes1 note and the excluded code, and look for a provider statement on whether the two conditions are related.
Reason: Excludes1 means the two are not coded together; the exception is when the record shows the conditions are unrelated to each other (Guidelines I.A.12.a).
Documentation: Only one of the components this code’s title joins is documented.
Coding question: Is K52.0 supported?
Path: Review the code for the documented component on its own.
Reason: A combination code is assigned only when it fully identifies the documented conditions; otherwise the documented component takes its own code (Guidelines I.B.9).
Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.
Coding context
The comparisons, hierarchy, index entries, guidelines, relationships, risk-adjustment and coverage context a coder commonly needs. Each section names whether it is official source data, a MedCoder-derived relationship or MedCoder editorial.
Code Overview
MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Indexed Clinical Terms (4)
Official source data — entries quoted as published, in the Index’s own lookup phrasing
Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.
Official Coding Guidelines
No excerpt in the ICD-10-CM Official Guidelines names this code specifically. Its chapter carries only this chapter-wide note:
Chapter 11: Diseases of the Digestive System (K00-K95)
Reserved for future guideline expansion
Verify Before Coding
- CC as a secondary diagnosis (FY2027). Can raise the stay's MS-DRG severity tier.
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.
Relationships & Classification
MedCoder structured relationships — computed from published CMS and AHRQ datasets
Other codes that name K52.0 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.
Referenced by 1 Excludes1 note: T66 — Radiation sickness, unspecified.
These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.
Referenced by 1 Excludes2 note: K91 — Intraoperative and postprocedural complications and disorders of digestive system, not elsewhere classified.
These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.
MS-DRG Grouper Relationships (FY2027)
Potential MS-DRG participation — not a DRG assignment.
FY2027 MS-DRG: CC — Complication or Comorbidity. Reported as a secondary diagnosis, this code raises the stay's MS-DRG severity tier — except when the principal diagnosis is one of 1 clinically related codes on its CMS exclusion list.
Named in the grouper logic of 3 MS-DRGs: DRG 393 (MDC 06), DRG 394 (MDC 06), DRG 395 (MDC 06).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Clinical classification (AHRQ CCSR):DIG022 — Noninfectious gastroenteritis (default).
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Related Codes
Same clinical category (CCSR)
AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Noninfectious gastroenteritis).
K52.1 — Toxic gastroenteritis and colitis, K52.2 — Allergic and dietetic gastroenteritis and colitis, K52.21 — Food protein-induced enterocolitis syndrome, K52.22 — Food protein-induced enteropathy, K52.29 — Other allergic and dietetic gastroenteritis and colitis, K52.3 — Indeterminate colitis, K52.81 — Eosinophilic gastritis or gastroenteritis, K52.82 — Eosinophilic colitis, K52.831 — Collagenous colitis, K52.832 — Lymphocytic colitis, K52.838 — Other microscopic colitis, K52.839 — Microscopic colitis, unspecified, K52.89 — Other specified noninfective gastroenteritis and colitis, K52.9 — Noninfective gastroenteritis and colitis, unspecified
Same Index main term, other category
The ICD-10-CM Index to Diseases and Injuries files this code under the main terms “Enteritis”, “Colitis”, “Enterocolitis”; these codes share that main term but sit in a different category of the Tabular List.
K51.814 — Other ulcerative colitis with abscess (ulcerative, specified type NEC, with, complication, abscess), K51.818 — Other ulcerative colitis with other complication (ulcerative, specified type NEC, with, complication, specified complication NEC), K51.819 — Other ulcerative colitis with unspecified complications (ulcerative, specified type NEC, with, complication), K51.90 — Ulcerative colitis, unspecified, without complications (ulcerative), K51.911 — Ulcerative colitis, unspecified with rectal bleeding (ulcerative, with, complication, rectal bleeding), K51.912 — Ulcerative colitis, unspecified with intestinal obstruction (ulcerative, with, complication, obstruction), K51.913 — Ulcerative colitis, unspecified with fistula (ulcerative, with, complication, fistula), K51.914 — Ulcerative colitis, unspecified with abscess (ulcerative, with, complication, abscess), K51.918 — Ulcerative colitis, unspecified with other complication (ulcerative, with, complication, specified complication NEC), K51.919 — Ulcerative colitis, unspecified with unspecified complications (ulcerative, with, complication), K55.019 — Acute (reversible) ischemia of small intestine, extent unspecified (fulminant), K55.039 — Acute (reversible) ischemia of large intestine, extent unspecified (ischemic, acute), K55.059 — Acute (reversible) ischemia of intestine, part and extent unspecified (hemorrhagic), K55.1 — Chronic vascular disorders of intestine (ischemic, chronic), K55.30 — Necrotizing enterocolitis, unspecified (necrotizing), K55.31 — Stage 1 necrotizing enterocolitis (necrotizing, in non-newborn, stage 1), K55.32 — Stage 2 necrotizing enterocolitis (necrotizing, with, pneumatosis), K55.33 — Stage 3 necrotizing enterocolitis (necrotizing, with, perforation), K55.9 — Vascular disorder of intestine, unspecified (ischemic), K58.0 — Irritable bowel syndrome with diarrhea (spastic, with diarrhea), +87 more
Lab tests where this diagnosis supports Medicare coverage (NCD)
Medicare's National Coverage Determination (NCD) program lists this diagnosis as medical justification for these lab tests.
Fecal Occult Blood Test (FOBT), Gamma-glutamyl Transferase (GGT) Test
Contextual Map
Every relationship of K52.0 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Run K52.0 with these 2 related codes in Claim Check
Hierarchy
- K00-K95 — Chapter 11: Diseases of the Digestive System (K00-K95) (K00-K95)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- K50-K52 — Noninfective enteritis and colitis[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
Referenced by Excludes1 notes
- T66 — Radiation sickness, unspecified[Excludes1]: “radiation gastroenteritis and colitis (K52.0)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
Referenced by Excludes2 notes
- K91 — Intraoperative and postprocedural complications and disorders of digestive system, not elsewhere classified[Excludes2]: “radiation colitis (K52.0)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
Clinical classification (CCSR)
- DIG022 — Noninfectious gastroenteritis[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)
MS-DRG Grouper
- CC — Complication or Comorbidity [MS-DRG severity]: “As a secondary diagnosis this code can raise the stay's MS-DRG severity tier (CC).”— CMS MS-DRG Definitions Manual (Appendix C) · FY2027
- DRG 393 — OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC[MS-DRG]: “OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC (MDC 06)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- DRG 394 — OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC[MS-DRG]: “OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC (MDC 06)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- DRG 395 — OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC[MS-DRG]: “OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC (MDC 06)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
MDC crossing
- MDC 06 — Diseases and Disorders of the Digestive System[MDC crossing]: “Diseases and Disorders of the Digestive System — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 5,748 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2027
Index entries
- Colitis (acute) (catarrhal) (chronic) (noninfective) (hemorrhagic), due to radiation[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
- Enteritis (acute) (diarrheal) (hemorrhagic) (noninfective), radiation[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
- Enterocolitis, radiation[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
- Gastroenteritis (acute) (chronic) (noninfectious), due to, radiation[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
Nearest codes (17)
- K52 — Other and unspecified noninfective gastroenteritis and colitis[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- K52.1 — Toxic gastroenteritis and colitis[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- K52.2 — Allergic and dietetic gastroenteritis and colitis[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- K52.21 — Food protein-induced enterocolitis syndrome[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- K52.22 — Food protein-induced enteropathy[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- K52.29 — Other allergic and dietetic gastroenteritis and colitis[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- K52.3 — Indeterminate colitis[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- K52.8 — Other specified noninfective gastroenteritis and colitis[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- and 9 more
Change history
- FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016
Deep reference
Published questions and FAQ, every source behind this page with its release and checksum, the date-of-service check and the complete change history.
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, title, tabular notes and index terms Official source data
- CMS/CDC ICD-10-CM FY2027 tabular list, index and tables, effective October 1, 2026 Release, file and checksum · Publisher’s page
- Coding guidelines Official source data
- ICD-10-CM Official Guidelines for Coding and Reporting (FY2027), quoted by section Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v44.0 (October 2026) Release, file and checksum · Publisher’s page
- Inpatient payment groups Official source data
- CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44 Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder structured relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCD code lists 2026-01 · LCD export September 20, 2026 · All releases and sources
Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates · CMS coding rules
Cite this page
Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.
MedCoder.ai. "K52.0 — Gastroenteritis and colitis due to radiation." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/k52.0-gastroenteritis-and-colitis-due-to-radiation
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionGastroenteritis and colitis due to radiation
No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027, and none are recorded for this code. Note changes are tracked from FY2027 only.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to K52.0 in its code family, with their registry titles.
- K52 — Other and unspecified noninfective gastroenteritis and colitis
- K52.1 — Toxic gastroenteritis and colitis
- K52.2 — Allergic and dietetic gastroenteritis and colitis
- K52.21 — Food protein-induced enterocolitis syndrome
- K52.22 — Food protein-induced enteropathy
- K52.29 — Other allergic and dietetic gastroenteritis and colitis
- K52.3 — Indeterminate colitis
- K52.8 — Other specified noninfective gastroenteritis and colitis
- K52.81 — Eosinophilic gastritis or gastroenteritis
- K52.82 — Eosinophilic colitis