ICD-10 Code K50.111 – Crohn’s disease of large intestine with rectal bleeding (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Crohn’s disease of large intestine with rectal bleeding is K50.111.
2026 ICD-10-CM Diagnosis Code K50.111 – Crohn’s disease of large intestine with rectal bleeding

What it is

K50.111 identifies Crohn’s disease affecting the large intestine when rectal bleeding is documented. Use it for inflammatory bowel disease involving the colon with bleeding from the rectum.

Clinical signs

Typical findings include chronic bowel inflammation with colonic involvement and documented rectal bleeding. Clinical features vary; refer to documentation for the specific site and whether bleeding is attributed to Crohn’s disease.

When to use this code

Use this code when the provider documents Crohn’s disease of the large intestine and also notes rectal bleeding. It fits encounters where the bleeding is part of the Crohn’s presentation, not a separate anorectal problem. Check documentation if the record only says lower gastrointestinal bleeding.

Do not use for

Do not use it when Crohn’s disease is limited to another intestinal site, or when rectal bleeding is documented without Crohn’s disease. If the chart does not specify colonic involvement, check documentation.

Coding tip

Code the Crohn’s site and the bleeding detail together; if either is unclear, query the provider.

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