Code Also Notes in Chapter 11: Diseases of the digestive system ICD-10-CM
A Code Also note means two codes may be needed to fully describe a condition; it gives no sequencing direction. In Chapter 11 (K00-K95), notes printed in the chapter name other codes 39 times, and Code Also Notes anywhere in the Tabular List name the chapter’s codes 37 times, covering 21 distinct codes, categories and ranges. Switch views to read the list either way.
Code Also Notes by the code that carries the note
- K31.6 Fistula of stomach and duodenum
- , if applicable, disruption of internal operation (surgical) wound (T81.32-)
- K63.2 Fistula of intestine
- , if applicable, disruption of internal operation (surgical) wound (T81.32-)
- if applicable diverticular disease of intestine (K57.-)
- K68.2 Retroperitoneal fibrosis
- , if applicable, associated obstruction of ureter (N13.5)
- K76.82 Hepatic encephalopathy
- acute and subacute hepatic failure without coma (K72.00)
- alcoholic hepatic failure without coma (K70.40)
- chronic hepatic failure without coma (K72.10)
- hepatic failure with toxic liver disease without coma (K71.10)
- hepatic failure without coma (K72.90)
- icterus of newborn (P55-P59)
- postprocedural hepatic failure (K91.82)
- viral hepatitis without hepatic coma (B15.9, B16.1, B16.9, B17.10, B19.10, B19.20, B19.9)
- , if applicable, fistula of bile duct (K83.3)
- K82.3 Fistula of gallbladder
- , if applicable, disruption of internal operation (surgical) wound (T81.32-)
- K86.0 Alcohol-induced chronic pancreatitis
- exocrine pancreatic insufficiency (K86.81)
- K86.1 Other chronic pancreatitis
- exocrine pancreatic insufficiency (K86.81)
- K90.0 Celiac disease
- exocrine pancreatic insufficiency (K86.81)
- K92.81 Gastrointestinal mucositis (ulcerative)
- D70 Neutropenia: , if applicable, mucositis (J34.81, K12.3-, K92.81, N76.81)
- K61.0 Anal abscess
- K62.4 Stenosis of anus and rectum
- K57 Diverticular disease of intestine: peritonitis (K65.-)
- K57 Diverticular disease of intestine: pelvic abscess (K6A.0-)
- Block N70-N77 Inflammatory diseases of female pelvic organs: , if applicable, pelvic abscess (K6A.0-)
- K70.40 Alcoholic hepatic failure without coma
- K76.82 Hepatic encephalopathy: alcoholic hepatic failure without coma (K70.40)
- K71.10 Toxic liver disease with hepatic necrosis, without coma
- K76.82 Hepatic encephalopathy: hepatic failure with toxic liver disease without coma (K71.10)
- K72.00 Acute and subacute hepatic failure without coma
- K76.82 Hepatic encephalopathy: acute and subacute hepatic failure without coma (K72.00)
- M35.81 Multisystem inflammatory syndrome: acute hepatic failure (K72.0-)
- K72.10 Chronic hepatic failure without coma
- K76.82 Hepatic encephalopathy: chronic hepatic failure without coma (K72.10)
- K72.90 Hepatic failure, unspecified without coma
- K76.82 Hepatic encephalopathy: hepatic failure without coma (K72.90)
- K76.6 Portal hypertension
- I27.21 Secondary pulmonary arterial hypertension: portal hypertension (K76.6)
- K83.3 Fistula of bile duct
- K80.4 Calculus of bile duct with cholecystitis: , if applicable, fistula of bile duct (K83.3)
- K86.81 Exocrine pancreatic insufficiency
- C25 Malignant neoplasm of pancreas: if applicable exocrine pancreatic insufficiency (K86.81)
- C78.89 Secondary malignant neoplasm of other digestive organs: exocrine pancreatic insufficiency (K86.81)
- D61.02 Shwachman-Diamond syndrome: exocrine pancreatic insufficiency (K86.81)
- E84 Cystic fibrosis: exocrine pancreatic insufficiency (K86.81)
- K86.0 Alcohol-induced chronic pancreatitis: exocrine pancreatic insufficiency (K86.81)
- K86.1 Other chronic pancreatitis: exocrine pancreatic insufficiency (K86.81)
- K90.0 Celiac disease: exocrine pancreatic insufficiency (K86.81)
- Z90.41 Acquired absence of pancreas: exocrine pancreatic insufficiency (K86.81)
- K90.49 Malabsorption due to intolerance, not elsewhere classified
- I27.841 Fontan-associated lymphatic dysfunction: Fontan associated protein-losing enteropathy (K90.49)
- K91.82 Postprocedural hepatic failure
- K76.82 Hepatic encephalopathy: postprocedural hepatic failure (K91.82)
- K92.81 Gastrointestinal mucositis (ulcerative)
- D70 Neutropenia: , if applicable, mucositis (J34.81, K12.3-, K92.81, N76.81)
The first view lists notes printed in this chapter (a note on a category or block applies to every code beneath it). The second lists codes of this chapter named by Code Also Notes anywhere in the Tabular List, including notes in other chapters.
Questions About Code Also Notes
What does a Code Also note mean?
A Code Also note instructs that two codes may be required to fully describe a condition, but it does not give sequencing direction (Section I.A.17). The FY 2027 Tabular List has 689 of them; 495 name other codes, with 538 references to 349 distinct codes, categories and ranges.
Which code goes first with a Code Also note?
The note does not decide it. Sequencing depends on the circumstances of the encounter: normally the condition that is the main reason for the visit goes first.
Related References
Source: FY 2027 ICD-10-CM Tabular List (CMS and NCHS) and the ICD-10-CM Official Guidelines for Coding and Reporting FY 2027, Section I.A. ICD List is not affiliated with CMS or NCHS.
