ICD-10 Code K50.114 – Crohn’s disease of large intestine with abscess (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Crohn’s disease of large intestine with abscess is K50.114.
2026 ICD-10-CM Diagnosis Code K50.114 – Crohn’s disease of large intestine with abscess

What it is

This code identifies Crohn’s disease limited to the large intestine when an abscess is documented. It reflects inflammatory bowel disease with a localized pocket of infection or pus.

Clinical signs

Typical findings include chronic abdominal pain, diarrhea, weight loss, and colonic inflammation. An abscess may be noted on imaging, exam, or operative report; if unclear, check documentation.

When to use this code

Use K50.114 when the provider documents Crohn’s disease of the large intestine and specifically states an abscess. Apply it whether the abscess is intra-abdominal, pericolonic, or otherwise linked to the colonic Crohn’s diagnosis. If the record does not confirm both elements, query or check documentation.

Do not use for

Do not use this code for Crohn’s disease without abscess, or when the disease site is not the large intestine. Also avoid it if the abscess is unrelated to Crohn’s disease.

Coding tip

Code the Crohn’s site and complication together only when both are clearly documented.

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