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ICD-10-CM 2027

ICD-10 code for colonic pseudo-obstruction intestine

K59.81

Ogilvie syndrome

✓ Billable / specific

From the official ICD-10-CM alphabetic index entry “Pseudo-obstruction intestine (acute) (chronic) (idiopathic) (intermittent secondary) (primary) › colonic”. Page updated September 29, 2026.

About coding colonic pseudo-obstruction intestine

The ICD-10-CM code for colonic pseudo-obstruction intestine is K59.81 (Ogilvie syndrome).

Within K59.8 (other specified functional intestinal disorders), K59.81 is specifically for Ogilvie syndrome. Related codes cover other specified functional intestinal disorders (K59.89).

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 391 (Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders with MCC, relative weight 1.2392) and DRG 392 (Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC, relative weight 0.7645), in MDC 06 (Diseases and Disorders of the Digestive System), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

Common questions about colonic pseudo-obstruction intestine ICD-10 codes

What is the ICD-10 code for colonic pseudo-obstruction intestine?

K59.81 — Ogilvie syndrome.

Is K59.81 billable?

Yes. K59.81 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can K59.81 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict K59.81 as a principal diagnosis.

Is K59.81 a CC or MCC?

No. K59.81 is neither a CC nor an MCC under MS-DRG v44.0.