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.
Intestinal obstruction is a blockage that keeps food or liquid from passing through your small intestine or large intestine (colon).
Intestinal obstructions can be caused by something inside the GI tract blocking the intestine or by something outside the GI tract pressing on the intestine and causing it to collapse. A bowel obstruction causes physical symptoms, including: Nausea and vomiting. Severe pain in your abdomen (belly)
81) and other specified functional intestinal disorders (K59. 89). Ogilvie syndrome, also referred to as acute colonic ileus and acute colonic pseudo-obstruction (ACPO), is an uncommon condition that affects the large intestines.
A large bowel (large intestine) obstruction is a blockage that keeps gas or stool from passing through the body. An intestinal blockage can occur anywhere in the large intestine. The large bowel obstruction may block the bowel completely or partially.
The most common cause of small-bowel obstruction (SBO) in developed countries is intra-abdominal adhesions, accounting for approximately 65% to 75% of cases. Postoperative adhesions can be the cause of acute obstruction within 4 weeks of surgery or of chronic obstruction decades later.
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.
Introduction. Malignant bowel obstruction (MBO) is a frequent complication in patients with advanced cancer, especially of digestive or gynecological origin. Bowel obstruction is any mechanical or functional obstruction of the intestine that prevents physiological transit and digestion.
Tests and procedures used to diagnose intestinal obstruction include:Physical exam. Your doctor will ask about your medical history and your symptoms. ... X-ray. To confirm a diagnosis of intestinal obstruction, your doctor may recommend an abdominal X-ray. ... Computerized tomography (CT). ... Ultrasound. ... Air or barium enema.
Mechanical bowel obstruction can be caused by a number of conditions. Some of the most common causes are: 1 Adhesions or scar tissue that forms after surgery 2 Foreign bodies (objects that are swallowed and block the intestines) 3 Gallstones (rare) 4 Hernias 5 Impacted stool 6 Intussusception (telescoping of one segment of bowel into another) 7 Tumors blocking the intestines 8 Volvulus (twisted intestine)
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:
Some of the most common causes are: Adhesions or scar tissue that forms after surgery. Foreign bodies (objects that are swallowed and block the intestines) Gallstones (rare) Hernias. Impacted stool. Intussusception (telescoping of one segment of bowel into another) Tumors blocking the intestines.
This is to help relieve abdominal swelling (distention) and vomiting. Volvulus of the large bowel may be treated by passing a tube into the rectum.
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.
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.
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. The condition is often treated conservatively over a period of 2–5 days with the patient's progress regularly monitored by an assigned physician. Surgical procedures are performed on occasion however, in life-threatening cases, such as when the root cause is a fully lodged foreign object or malignant tumor.
Use a child code to capture more detail. ICD Code K56.6 is a non-billable code.