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v1.0.0
ICD-10 Guide
DiagnosesAcute Diverticulitis

Acute Diverticulitis

ICD-10 Coding for Acute Diverticulitis(K57.32, K57.33)

PRIMARY SPECIALTYEmergency Medicine
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Acute Diverticulitis?
Acute diverticulitis is an inflammatory condition of the diverticula, which are small pouches that can form in the walls of the colon. It is characterized by the presence of diverticula along with inflammation, which can lead to complications such as abscess formation or perforation. Key clinical points include: 1) Commonly presents with left lower quadrant pain, fever, and changes in bowel habits. 2) Risk factors include age, obesity, and a low-fiber diet. 3) Diagnosis is often confirmed through imaging studies such as CT scans. Typical use cases for this diagnosis code include emergency department visits for abdominal pain, outpatient evaluations for diverticular disease, and hospital admissions for complications. The etiology is often multifactorial, with dietary habits playing a significant role. Pathophysiologically, diverticulitis occurs when fecal matter obstructs the diverticula, leading to inflammation and potential infection. Clinically, patients may present with localized tenderness, fever, and leukocytosis, necessitating prompt evaluation and management.

Key Clinical Considerations:

  • Diagnosis requires clinical evidence of diverticulitis, typically supported by imaging studies.
  • Signs and symptoms include left lower quadrant pain, fever, nausea, and altered bowel habits.
  • Resolution criteria include symptom improvement and normalization of laboratory values.
  • Imaging findings may include thickening of the colonic wall, pericolic fat stranding, and the presence of diverticula.

Clinical Information

Clinical Criteria & Documentation Requirements

  • Documentation must include a clear diagnosis of acute diverticulitis, clinical findings, and any imaging results.
  • Compliant documentation includes specific symptoms and the results of diagnostic tests, while non-compliant documentation may lack detail or clarity.
  • Example phrases include: 'Patient diagnosed with acute diverticulitis based on CT findings.'
  • Medical necessity must be established through documentation of symptoms and the need for treatment.

Coding Guidelines

Usage Guidelines & Examples

  • Use K57.32 for acute diverticulitis without perforation or abscess; use K57.33 for acute diverticulitis with perforation or abscess.
  • Do not use these codes for chronic diverticulitis or other gastrointestinal conditions.
  • Correct usage example: 'Patient admitted with K57.32 due to acute diverticulitis symptoms.' Incorrect usage: 'Patient with chronic diverticulitis coded as K57.32.'
  • Common errors include misclassifying chronic conditions as acute; ensure accurate clinical assessment.

Code Exclusions

Important Exclusions

  • Excluded conditions include chronic diverticulitis (K57.2) and diverticular disease without diverticulitis (K57.0).
  • Alternative codes for exclusions include K57.30 for diverticulitis without complications.
  • Common exclusion errors involve misclassifying chronic conditions as acute; ensure accurate clinical assessment.
  • Certain conditions are excluded to maintain specificity in coding and avoid reimbursement issues.

Related ICD-10 Codes

Primary Codes
K57.32
Acute diverticulitis of large intestine without perforation or abscess
K57.33
Acute diverticulitis of large intestine with perforation or abscess
Ancillary Codes
R10.31
K65.0
Differential Codes
K57.33
K57.33
if imaging shows perforation or abscess.
K57.32
K57.32
if there is no perforation or abscess.

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Emergency Medicine

Specialty Applications

  • This diagnosis applies to patients presenting with acute abdominal pain and imaging-confirmed diverticulitis.
  • Appropriate in emergency settings for acute presentations and outpatient settings for follow-up care.
  • Inpatient coding may involve additional codes for complications or comorbidities.
  • Specialty considerations include surgical intervention by colorectal surgeons for complicated cases.

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Template 1

Template: 'Acute diverticulitis diagnosed based on CT findings showing diverticula and inflammation.'

Template 2

Template: 'Patient presents with left lower quadrant pain consistent with acute diverticulitis.'

Template 3

Template: 'Diagnostic criteria met: CT scan shows thickened colonic wall and pericolic fat stranding.'

Template 4

Template: 'Treatment plan includes antibiotics and dietary modifications for acute diverticulitis.'

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

What documentation is required for this code?

Detailed documentation must include clinical findings, imaging results, and treatment plans.

When should this code be used vs similar codes?

Use K57.32 for uncomplicated cases and K57.33 for cases with perforation or abscess.

What are common billing issues with this code?

Reimbursement issues may arise from lack of detailed documentation; ensure clarity in clinical notes.

What procedures are commonly associated?

Commonly associated CPT codes include colonoscopy (45378) and surgical interventions for complications.