K55.3
Non-Billable

Necrotizing enterocolitis

Non-Billable / Non-Specific Code

What is Necrotizing enterocolitis?

ICD-10-CM K55.3 is the diagnosis code for Necrotizing enterocolitis. This code falls under the section "Other diseases of intestines" within Chapter 11 — Diseases of the digestive system (K00-K95). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

⛔ Excludes1
â„šī¸ Excludes2

Coding Guidelines for K55.3

⛔ Type 1 Excludes (Never code together)

The following conditions should never be coded at the same time as K55.3. They are mutually exclusive:

  • necrotizing enterocolitis of newborn (P77.-)

â„šī¸ Type 2 Excludes (Code separately if applicable)

The following conditions are not included in K55.3. If the patient has both, code each condition separately:

  • necrotizing enterocolitis due to Clostridium difficile (A04.7-)

ICD-10-CM Code Hierarchy

Understanding where K55.3 sits in the ICD-10-CM classification helps ensure proper coding:

Sub-Codes 4 entries
K55.30Necrotizing enterocolitis, unspecifiedBillableK55.31Stage 1 necrotizing enterocolitisBillableK55.32Stage 2 necrotizing enterocolitisBillableK55.33Stage 3 necrotizing enterocolitisBillable
Related Codes

Frequently Asked Questions

Is K55.3 a billable ICD-10-CM code?

No, K55.3 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does K55.3 mean?

K55.3 is the ICD-10-CM diagnosis code for "Necrotizing enterocolitis". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What is the parent code of K55.3?

The parent code of K55.3 is K55 ("Vascular disorders of intestine"). K55.3 provides a more specific classification within this category.

What section is K55.3 in?

K55.3 is located in Section K55-K64 — "Other diseases of intestines" within Chapter 11 of the ICD-10-CM Tabular List.

What are the sub-codes of K55.3?

K55.3 has 4 sub-code(s) that provide more specific detail: K55.30, K55.31, K55.32, K55.33.

When should I use K55.3?

Use K55.3 when the patients documented diagnosis matches "Necrotizing enterocolitis" 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 Necrotizing enterocolitis?

The ICD-10-CM code for Necrotizing enterocolitis is K55.3.

Can K55.3 be used for primary diagnosis?

No, K55.3 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is K55.3 in?

K55.3 is in Chapter 11 of the ICD-10-CM Tabular List.

What conditions are excluded from K55.3?

Type 1 Excludes for K55.3 include: necrotizing enterocolitis of newborn (P77.-).

Is K55.3 valid for 2026?

Yes, K55.3 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousK55.21Angiodysplasia of colon with hemorrhageNext →K55.30Necrotizing enterocolitis, unspecified
Code Details
K55.3
Necrotizing enterocolitis
Non-Billable / Non-Specific Code
11 — Diseases of the digestive system (K00-K95)
K55-K64 — Other diseases of intestines
2026 ICD-10-CM