ICD-10 Code K51.211 – Ulcerative (chronic) proctitis with rectal bleeding (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Ulcerative (chronic) proctitis with rectal bleeding is K51.211.
2026 ICD-10-CM Diagnosis Code K51.211 – Ulcerative (chronic) proctitis with rectal bleeding

What it is

K51.211 identifies chronic ulcerative inflammation limited to the rectum, with documented rectal bleeding. Use it when the record shows ulcerative proctitis and bleeding as a current feature.

Clinical signs

Typical findings include rectal urgency, mucus or blood per rectum, and inflammation confined to the rectum on exam or endoscopy. Clinical features vary; refer to documentation.

When to use this code

Use this code when the provider documents ulcerative proctitis and specifically notes rectal bleeding. It fits encounters for confirmed chronic disease, including flare-ups, follow-up visits, or ongoing management when bleeding remains part of the diagnosis.

Code it only when the record supports both the ulcerative proctitis and the bleeding component. If bleeding is present but the diagnosis is not clearly chronic ulcerative proctitis, check documentation.

Do not use for

Do not use this code for ulcerative colitis affecting areas beyond the rectum, or for rectal bleeding without documented ulcerative proctitis. Check documentation if the cause of bleeding is unclear.

Coding tip

Look for explicit provider wording that links rectal bleeding to ulcerative proctitis before assigning K51.211.

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