2026 ICD-10-CM Diagnosis Code K63.1Perforation of intestine (nontraumatic)

ICD-10-CM CodesK00–K95K55-K64K63

ICD-10-CM K63.1
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

K63.1 is a billable ICD-10-CM diagnosis code for perforation of intestine (nontraumatic). It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 393 through 395. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Gastrointestinal and biliary perforation.

Code Identity

ICD-10-CM Code
K63.1
Billable Status
Yes — Valid for Submission
Code Describes
Perforation of intestine (nontraumatic)
Short Description
Perforation of intestine (nontraumatic)
Same as the full description in the CMS dataset.
Parent Code
Other diseases of intestine

Code Classification

ChapterK00–K95Diseases of the digestive system
SectionK55-K64Other diseases of intestines
CategoryK63Other diseases of intestine
This CodeK63.1Perforation of intestine (nontraumatic)

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Delayed perforation of colon
  • Delayed perforation of duodenum
  • Delayed perforation of rectum
  • Delayed perforation of small intestine
  • Gastrointestinal perforation
  • Inflammatory perforation of small intestine
  • Injury of sigmoid colon
  • Injury of transverse colon
  • Nontraumatic perforation of large intestine
  • Nontraumatic perforation of small intestine
  • Perforated ulcer of intestine
  • Perforation of colon
  • Perforation of ileum
  • Perforation of intestine
  • Perforation of intestine due to cystic fibrosis with meconium ileus
  • Perforation of jejunum
  • Perforation of large intestine
  • Perforation of rectum
  • Perforation of sigmoid colon
  • Perforation of small intestine
  • Perforation of terminal ileum
  • Perforation of transverse colon
  • Perinatal intestinal perforation
  • Rupture of colon
  • Rupture of ileum
  • Rupture of intestine
  • Rupture of jejunum
  • Rupture of rectum
  • Rupture of small intestine
  • Spontaneous perforation of large intestine
  • Traumatic perforation of large intestine
  • Traumatic perforation of rectum

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • Perforation (nontraumatic) of rectum

Type 1 Excludes

  • perforation nontraumatic of duodenum K26
  • perforation nontraumatic of intestine with diverticular disease K57.0 K57.2 K57.4 K57.8

Type 2 Excludes

  • perforation nontraumatic of appendix K35.2 K35.3

Index to Diseases and InjuriesGuidance

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Perforation, perforated(nontraumatic) (of)
      • bowel
    • Perforation, perforated(nontraumatic) (of)
      • colon
    • Perforation, perforated(nontraumatic) (of)
      • ileum
    • Perforation, perforated(nontraumatic) (of)
      • intestine NEC
    • Perforation, perforated(nontraumatic) (of)
      • intestine NEC
        • ulcerative NEC
    • Perforation, perforated(nontraumatic) (of)
      • jejunum, jejunal
    • Perforation, perforated(nontraumatic) (of)
      • rectum
    • Perforation, perforated(nontraumatic) (of)
      • sigmoid
    • Rupture, ruptured
      • bowel (nontraumatic)
    • Rupture, ruptured
      • colon (nontraumatic)
    • Rupture, ruptured
      • intestine NEC (nontraumatic)
    • Rupture, ruptured
      • rectum (nontraumatic)
    • Rupture, ruptured
      • sigmoid (nontraumatic)
    • Ulcer, ulcerated, ulcerating, ulceration, ulcerative
      • intestine, intestinal
        • with perforation
    • Ulcer, ulcerated, ulcerating, ulceration, ulcerative
      • intestine, intestinal
        • perforating
    • Ulcer, ulcerated, ulcerating, ulceration, ulcerative
      • primary of intestine
        • with perforation
    • Ulcer, ulcerated, ulcerating, ulceration, ulcerative
      • rectosigmoid
        • with perforation
    • Ulcer, ulcerated, ulcerating, ulceration, ulcerative
      • stercoraceous, stercoral
        • with perforation

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR DIG006
Gastrointestinal and biliary perforation
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Colonic Diseases

Your colon, also known as the large intestine, is part of your digestive system. It's a long, hollow tube at the end of your digestive tract where your body makes and stores stool. Many disorders affect the colon's ability to work properly. Some of these include:

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert K63.1 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
569.83 Perforation of intestine
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About K63.1Overview

Is K63.1 (Other diseases of intestine) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report perforation of intestine (nontraumatic) on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does K63.1 group to?

When perforation of intestine (nontraumatic) is the principal diagnosis on an inpatient stay, it groups to MS-DRG 393, 394, 395, with relative weights from 0.6490 to 1.5993 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of K63.1?

Under the General Equivalence Mappings, perforation of intestine (nontraumatic) converts to ICD-9-CM 569.83 (perforation of intestine). The mapping is a direct match.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.