Dvrtclos of lg int w/o perforation or abscess w bleeding

This code signifies the presence of diverticula in the large intestine without evidence of inflammation, perforation, or abscess formation, but with active or recent gastrointestinal bleeding attributed to the diverticula. It describes a symptomatic form of diverticulosis characterized specifically by hemorrhage.

Apply this code when documentation clearly indicates diverticulosis of the colon and a direct association with bleeding, such as hematochezia, melena, or positive fecal occult blood test, in the absence of perforation or abscess. This is appropriate for patients presenting with lower GI bleeding where diverticular disease is identified as the source and no acute inflammatory complications are noted.

• Ensure documentation explicitly states "with bleeding" and rules out perforation or abscess.
• Do not use this code if the bleeding is due to another identified source, even if diverticulosis is present.
• Distinguish carefully from K57.30 (without bleeding) and codes for diverticulitis (K57.32, K57.33).