icd 10 cm code for perforated sigmoid diverticulitis

by Iliana Kiehn 10 min read

Diverticulitis of large intestine with perforation and abscess without bleeding

  • K57.20 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • Short description: Dvtrcli of lg int w perforation and abscess w/o bleeding
  • The 2021 edition of ICD-10-CM K57.20 became effective on October 1, 2020.

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ICD-10 Code for Diverticulitis of large intestine with perforation and abscess without bleeding- K57. 20- Codify by AAPC.

How to code perforated diverticulitis?

Diverticulitis is assigned to the following codes: • Large intestine — 562.11 (with hemorrhage — 562.13); • Small intestine — 562.01 (with hemorrhage — 562.03); • Stomach — 537.1. These code assignments include whether the diverticulosis or diverticulitis was documented as perforated or ruptured. Diverticulosis with ...

What are the symptoms of severe diverticulitis?

They include:

  • Pain in the lower left side of your belly (abdomen) that may be severe
  • Tenderness in the left lower abdomen
  • Constipation or diarrhea
  • Fever and chills
  • Nausea or vomiting [1-3]

What is the ICD 10 code for history of diverticulitis?

  • K57.10 Diverticulosis of small intestine without perforation or abscess without bleeding
  • K57.11 Diverticulosis of small intestine without perforation or abscess with bleeding
  • K57.12 Diverticulitis of small intestine without perforation or abscess without bleeding
  • K57.13 Diverticulitis of small intestine without perforation or abscess with bleeding

What is sigmoid colon removal?

What sigmoid colon problems can arise?

  • Polyps. Polyps are lumps of tissue in the colon, most of which are not cancerous. ...
  • Colorectal cancer. The American Cancer Society reports that colorectal cancer is the third most common cancer in the United States, with more than 145,000 new cases expected to be diagnosed ...
  • Ulcerative colitis. ...
  • Crohn’s disease. ...
  • Fistulae. ...
  • Diverticular disease. ...
  • Volvulus. ...

What is the ICD-10 code for perforated sigmoid diverticulitis?

Diverticulitis of large intestine with perforation and abscess without bleeding. K57. 20 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM K57.

What is a perforated sigmoid diverticulum?

Perforation of inflamed sigmoid diverticula is a common complication of diverticular disease which may lead to the formation of a localised abscess.

What is perforated diverticulitis?

When you have acute diverticulitis, a perforated colon is not that unusual because diverticulitis causes tiny tears — perforations — in the colon walls. These tears can grow larger and become problematic. Colonic perforation can also be a life-threatening complication of recent colon surgery called anastomotic leakage.

What is the ICD-10 code for diverticulitis of colon with hemorrhage?

562.13 - Diverticulitis of colon with hemorrhage. ICD-10-CM.

What causes a perforated sigmoid colon?

The trigger for a sigmoid perforation can be a spontaneous rupture in an already vulnerable intestine. Common precursory diseases are diverticulitis, colitis, carcinomas, and necroses. Also, elevated intestinal pressure invoked by increased bearing down or coproliths may cause disruption.

What causes a perforated diverticulum?

Diverticula usually develop when naturally weak places in your colon give way under pressure. This causes marble-sized pouches to protrude through the colon wall. Diverticulitis occurs when diverticula tear, resulting in inflammation, and in some cases, infection.

How common is a perforated bowel from diverticulitis?

Perforation from colonic diverticulitis almost always occurs on the left side [3]. Well-contained perforations manifest as small and self-limited; however, non-contained perforations which occur in 1 %–2 % of patients with acute diverticulitis may lead to local abscess and fistula formation [4–6] (Fig.

How do you know if you have perforated diverticulitis?

In more severe diverticulitis, when a perforation or an abscess is suspected, you may experience significant abdominal pain, an inability to tolerate food, constipation, or fever and chills. In this situation, NYU Langone doctors may recommend hospitalization for treatment and monitoring.

Does perforated diverticulitis require surgery?

Perforated diverticulitis with generalized peritonitis requires immediate surgical intervention. A high percentage of these patients develop severe septic shock with multiorgan dysfunction [12].

What is the difference between diverticulitis and diverticulosis?

Diverticulosis occurs when small, bulging pouches (diverticula) develop in your digestive tract. When one or more of these pouches become inflamed or infected, the condition is called diverticulitis.

Is sigmoid colon large or small intestine?

large intestineThe sigmoid colon is an “S” shaped portion of the large intestine that begins in front of the pelvic brim as a continuation of the descending colon and becomes the rectum at the level of the third sacral vertebrae.

What is the correct ICD-10-CM coding for diverticulosis?

In ICD-10-CM, diverticular disease of intestine, or diverticulitis is coded to K57. The codes include location (small, large or small and large intestine), with or without perforation or abscess, and with or without bleeding: K57. 00 Diverticulitis of small intestine with perforation and abscess without bleeding.

What are the symptoms of diverticulitis?

Symptoms include abdominal pain that may become worse with movement, fever and chills, bloating and gas, diarrhea or constipation, nausea (with possible vomiting), and loss of appetite. Documentation elements for diverticulitis are location (small intestine, large intestine, or small and large intestine), as well as any manifestations ...

How does diverticulosis develop?

Diverticulosis develops when diverticula (pouches) form in the wall of the large intestine or colon. Physicians suspect that diverticula form when high pressure inside the colon pushes against the weak spots in the colon wall. When feces are trapped in the diverticula, bacteria grow.

The ICD code K57 is used to code Diverticulitis

Diverticulitis is a common digestive disease which involves the formation of pouches (diverticula) within the bowel wall. This process is known as diverticulosis, and typically occurs within the large intestine, or colon, although it can occasionally occur in the small intestine as well.

MS-DRG Mapping

DRG Group #391-392 - Esophagitis, gastroent and misc digest disorders with MCC.

ICD-10-CM Alphabetical Index References for 'K57.00 - Diverticulitis of small intestine with perforation and abscess without bleeding'

The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code K57.00. Click on any term below to browse the alphabetical index.

Equivalent ICD-9 Codes GENERAL EQUIVALENCE MAPPINGS (GEM)

This is the official approximate match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that while there is no exact mapping between this ICD10 code K57.00 and a single ICD9 code, 569.5 is an approximate match for comparison and conversion purposes.