K56.1

Intussusception

Risk-adjusting (HCC)Billable code

HCC risk adjustment mapping

CMS-HCC V28

HCC78

Intestinal Obstruction/Perforation

CMS-HCC ESRD V24

HCC33

Intestinal Obstruction/Perforation

Coding notes

Excludes 1 never coded together · Excludes 2 may co-exist

This code · K56.1
Excludes 2

intussusception of appendix (K38.8)

Synonyms

Intussusception or invagination of bowel Intussusception or invagination of colon Intussusception or invagination of intestine Intussusception or invagination of rectum

Inherited from K56Paralytic ileus and intestinal obstruction without hernia
Excludes 1

congenital stricture or stenosis of intestine (Q41-Q42) cystic fibrosis with meconium ileus (E84.11) ischemic stricture of intestine (K55.1) meconium ileus NOS (P76.0) neonatal intestinal obstructions classifiable to P76.- obstruction of duodenum (K31.5) postprocedural intestinal obstruction (K91.3-)

Excludes 2

stenosis of anus or rectum (K62.4)

Inherited from chapter 11Diseases of the digestive system
Excludes 2

certain conditions originating in the perinatal period (P04-P96) certain infectious and parasitic diseases (A00-B99) complications of pregnancy, childbirth and the puerperium (O00-O9A) congenital malformations, deformations and chromosomal abnormalities (Q00-Q99) endocrine, nutritional and metabolic diseases (E00-E88) injury, poisoning and certain other consequences of external causes (S00-T88) neoplasms (C00-D49) symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Official Guidelines for K56.1

FY 2026 ›

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