K63.1

Perforation of intestine (nontraumatic)

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 · K63.1
Excludes 1

perforation (nontraumatic) of duodenum (K26.-) perforation (nontraumatic) of intestine with diverticular disease (K57.0, K57.2, K57.4, K57.8)

Excludes 2

perforation (nontraumatic) of appendix (K35.2-, K35.3-)

Synonyms

Perforation (nontraumatic) of rectum

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 K63.1

FY 2026 ›