Version 2024

2024 ICD-10-CM Diagnosis Code K56.52

Intestinal adhesions [bands] with complete obstruction

ICD-10-CM:: K56.52
Short Description:: Intestinal adhesions [bands] with complete obstruction
Is Billable?: Yes - Valid for Submission
Code Navigator:

Code Classification

Diseases of the digestive system
(K00–K93)
- Other diseases of intestines
  (K55-K64)
  - Paralytic ileus and intestinal obstruction without hernia
    (K56)

K56.52 is a billable diagnosis code used to specify a medical diagnosis of intestinal adhesions [bands] with complete obstruction. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.

1. Tabular List of Diseases and Injuries
2. Index to Diseases and Injuries References
3. Diagnostic Related Groups - MS-DRG Mapping
4. Replacement Code
5. Convert to ICD-9 Code
6. Patient Education
7. Other Codes Used Similar Conditions
8. Code History

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

- Adhesions, adhesive (postinfective) - K66.0
- - with intestinal obstruction - K56.50
  - - complete - K56.52
- - intestine - See Also: Adhesions, peritoneum;
  - - with obstruction - K56.50
    - - complete - K56.52
- - peritoneum, peritoneal (postinfective) - K66.0
  - - with obstruction (intestinal) - K56.50
    - - complete - K56.52

- Band (s)
- - obstructive
  - - intestine - K56.50
    - - complete - K56.52
  - - peritoneum - K56.50
    - - complete - K56.52

- Obstruction, obstructed, obstructive
- - intestine - K56.609
  - - with
    - - adhesions (intestinal) (peritoneal) - K56.50
      - - complete - K56.52

Diagnostic Related Groups - MS-DRG Mapping

Diagnostic Related Groups (DRGs) are a classification system used to group together diagnosis codes for the purpose of reimbursement and healthcare management. DRGs are used to standardize the way hospitals and other providers are paid for inpatient services. In this system patients are grouped together based on their principal diagnosis in areas referred to as Major Diagnostic Categories (MDC). Once a patient is assigned a particular diagnostic category, providers receive a predetermined payment rate for the services rendered. This reimbursement rate is often fixed and is meant to cover the cost of care for that patient. Reimbursement is also affected by the relative weight of a diagnostic related group based on the severity of a patient's illness and the associated cost of care during hospitalization.

Diagnostic related groups encourage healthcare providers to focus on quality and efficiency in patient care while managing costs effectively. The diagnosis code is present in the following groups for version MS-DRG V41.0 applicable from 10/01/2023 through 09/30/2024.

MS-DRG	MS-DRG Title	MCD	Relative Weight
388	GASTROINTESTINAL OBSTRUCTION WITH MCC	06	1.4535
389	GASTROINTESTINAL OBSTRUCTION WITH CC	06	0.7964
390	GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC	06	0.559

The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.

Replacement Code

K5652 replaces the following previously assigned ICD-10-CM code(s):

K56.5 - Intestinal adhesions w obst (postprocedural) (postinfection)
K56.5 - Intestinal adhesions with obstruction (postinfection)

Convert to ICD-9-CM Code

Source ICD-10-CM Code		Target ICD-9-CM Code
K56.52		560.81 - Intestinal adhes w obstr
Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Code History

FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018