ICD-10 Code K55.03 – Acute (reversible) ischemia of large intestine (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Acute (reversible) ischemia of large intestine is K55.03.
2026 ICD-10-CM Diagnosis Code K55.03 – Acute (reversible) ischemia of large intestine

What it is

K55.03 identifies acute, reversible reduced blood flow to the large intestine. It means the colon is temporarily underperfused, but the injury is not documented as irreversible bowel infarction.

Clinical signs

Typical findings include sudden abdominal pain, cramping, and possible bloody stool or diarrhea. Clinical features vary; refer to documentation for evidence of ischemia, reversibility, and the affected bowel segment.

When to use this code

Use K55.03 when the provider documents acute ischemia of the large intestine and indicates it is reversible or transient. Apply it when the record supports colon ischemia without gangrene, infarction, or chronic ischemic disease. If the note is unclear, check documentation.

Do not use for

Do not use this code for ischemia of the small intestine, chronic mesenteric ischemia, or bowel infarction. If the documentation instead describes necrosis or gangrene, select the more specific code.

Coding tip

Verify that the documentation says “large intestine” and “reversible” before assigning K55.03.

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