How is bowel obstruction coded in ICD-10-CM?Obstruction:K56.69 Other intestinal obstruction.In addition, certain conditions will include a “with” notation and code within the index. See Adhesions entry below from the index:with intestinal obstruction K56.50.
Small bowel obstruction is a partial or complete blockage of the small intestine, which is a part of the digestive system. Small bowel obstruction can be caused by many things, including adhesions, hernia and inflammatory bowel disorders. Symptoms, diagnosis and treatment are discussed.
An intestinal obstruction occurs when your small or large intestine is blocked. The blockage can be partial or total, and it prevents passage of fluids and digested food. If intestinal obstruction happens, things will build up behind the site of the blockage.
Partial obstruction allows some liquid contents and gas to pass through the point of obstruction, whereas complete obstruction impedes passage of all bowel contents.
There are two types of small bowel obstruction:functional — there is no physical blockage, however, the bowels are not moving food through the digestive tract.mechanical — there is a blockage preventing the movement of food.
Causes of intestinal obstruction may include fibrous bands of tissue (adhesions) in the abdomen that form after surgery; hernias; colon cancer; certain medications; or strictures from an inflamed intestine caused by certain conditions, such as Crohn's disease or diverticulitis.
When an ileus occurs, it stops peristalsis and prevents food particles, gas, and liquids from passing through the digestive tract. If people continue to eat solid food, it can lead to a backlog of food particles, which may cause total or partial obstruction of the intestines.
Most partial blockages get better on their own. Your doctor may give you a special diet that's easier on your intestines. Enemas of air or fluid can help clear blockages by raising the pressure inside your bowels. A mesh tube called a stent is a safe option for people who are too sick for surgery.
Small-bowel obstruction (SBO) is caused by a variety of pathologic processes. The most common cause of SBO in developed countries is intra-abdominal adhesions, accounting for approximately 65% to 75% of cases, followed by hernias, Crohn disease, malignancy, and volvulus.
A bowel obstruction can either be a mechanical or functional obstruction of the small or large intestines. The obstruction occurs when the lumen of the bowel becomes either partially or completely blocked. Obstruction frequently causes abdominal pain, nausea, vomiting, constipation-to-obstipation, and distention.
The following conditions should be considered in the differential diagnosis of small-bowel obstruction (SBO): Esophageal rupture or tear. Gastrointestinal foreign body. Gastroenteritis.
In some cases, intestinal obstruction can cause serious and debilitating acute abdominal pain. If you experience sudden, severe abdominal pain in addition to any of the above symptoms, seek emergency medical attention, immediately, by calling 911 or visiting an Emergency Room.
When there is a condition in which the bowel does not work correctly, but there is no structural problem causing it, it is called “ileus.”. We are going to talk about mechanical bowel obstruction in this coding tip. Mechanical bowel obstruction can be caused by a number of conditions. Some of the most common causes are:
The term “postoperative’ can be misleading. A query may be necessary. Take Aways. Coders must be aware of the index entries for intestinal obstruction and follow the index. For conditions in the index, look for “with obstruction” underneath the main entry or subterm entries.
In the past, bowel obstruction was almost always coded as a diagnosis as the physician usually addressed the condition and did work up as to the cause, many times addressing the cause also. However that has changed as the coder will see in this coding tip.
Lastly, if intestinal obstruction is a complication of surgery, code K91.3-, may be warranted. Coders must validate that this is truly intestinal obstruction as a complication of surgery, and not just occurring after surgery due to another cause. The term “postoperative’ can be misleading. A query may be necessary.
Bowel obstruction or intestinal obstruction is a mechanical or functional obstruction of the intestines, preventing the normal transit of the products of digestion. It can occur at any level distal to the duodenum of the small intestine and is a medical emergency.
Inclusion Terms are a list of concepts for which a specific code is used. The list of Inclusion Terms is useful for determining the correct code in some cases, but the list is not necessarily exhaustive.
Acute gastrojejunal ulcer without hemorrhage AND without perforation but with obstruction (disorder)
The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code K56.60. Click on any term below to browse the alphabetical index.
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 K56.60 and a single ICD9 code, 560.9 is an approximate match for comparison and conversion purposes.