K51.213
Billable

Ulcerative (chronic) proctitis with fistula

Billable / Specific Code

What is Ulcerative (chronic) proctitis with fistula?

ICD-10-CM K51.213 is the diagnosis code for Ulcerative (chronic) proctitis with fistula. This code falls under the section "Noninfective enteritis and colitis" within Chapter 11 — Diseases of the digestive system (K00-K95). It is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

Coding Guidelines for K51.213

Always refer to the official ICD-10-CM Tabular List for complete coding guidelines. Ensure documentation supports the specificity of the code selected. When in doubt, consult a certified medical coder or the latest CMS guidelines.

ICD-10-CM Code Hierarchy

Understanding where K51.213 sits in the ICD-10-CM classification helps ensure proper coding:

Related Codes

Frequently Asked Questions

Is K51.213 a billable ICD-10-CM code?

Yes, K51.213 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What does K51.213 mean?

K51.213 is the ICD-10-CM diagnosis code for "Ulcerative (chronic) proctitis with fistula". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What is the parent code of K51.213?

The parent code of K51.213 is K51.21 ("Ulcerative (chronic) proctitis with complications"). K51.213 provides a more specific classification within this category.

What section is K51.213 in?

K51.213 is located in Section K50-K52 — "Noninfective enteritis and colitis" within Chapter 11 of the ICD-10-CM Tabular List.

When should I use K51.213?

Use K51.213 when the patients documented diagnosis matches "Ulcerative (chronic) proctitis with fistula" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Ulcerative (chronic) proctitis with fistula?

The ICD-10-CM code for Ulcerative (chronic) proctitis with fistula is K51.213.

Can K51.213 be used for primary diagnosis?

Yes, K51.213 can be used as a primary diagnosis code since it is billable and specific.

What chapter is K51.213 in?

K51.213 is in Chapter 11 of the ICD-10-CM Tabular List.

Is K51.213 valid for 2026?

Yes, K51.213 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousK51.212Ulcerative (chronic) proctitis with intestinal obstructionNext →K51.214Ulcerative (chronic) proctitis with abscess
Code Details
K51.213
Ulcerative (chronic) proctitis with fistula
Billable / Specific Code
11 — Diseases of the digestive system (K00-K95)
K50-K52 — Noninfective enteritis and colitis
2026 ICD-10-CM