Pseudo-obstruction intestine (acute) (chronic) (idiopathic) (intermittent secondary) (primary) K59.89ICD-10-CM Diagnosis Code K59.89Other specified functional intestinal disorders2021 - New Code Billable/Specific CodeApplicable ToAtony of colonPseudo-obstruction (acute) (chronic) of intestine. colonic K59.81. ICD-10-CM Diagnosis Code K59.81.
Intestinal Pseudo-Obstruction is a clinical syndrome caused by severe impairment in the ability of the intestines to push food through. It is characterized by the signs and symptoms of intestinal obstruction without any lesion in the intestinal lumen. Clinical features can include abdominal pain, nausea, severe distension, vomiting, dysphagia, diarrhea and constipation, depending upon the part ...
Intestinal pseudo-obstruction is a rare condition with symptoms that resemble those caused by a blockage, or obstruction, of the intestines, also called the bowel. However, when a health care provider examines the intestines, no blockage exists.
What is intestinal pseudo-obstruction?
ICD-10-CM Code for Unspecified intestinal obstruction K56. 60.
Acute colonic pseudo-obstruction (Ogilvie's syndrome) is a disorder characterized by acute dilatation of the colon in the absence of an anatomic lesion that obstructs the flow of intestinal contents.
The 2022 edition of ICD-10-CM K59. 01 became effective on October 1, 2021. This is the American ICD-10-CM version of K59.
K56. 601 - Complete intestinal obstruction, unspecified as to cause. ICD-10-CM.
In intestinal pseudo-obstruction, the intestine is unable to contract and push food, stool, and air through the digestive tract. The disorder most often affects the small intestine, but can also occur in the large intestine. The condition may start suddenly or be a chronic or long-term problem.
Paralytic ileus, also called pseudo-obstruction, is one of the major causes of intestinal obstruction in infants and children. Causes of paralytic ileus may include: Bacteria or viruses that cause intestinal infections (gastroenteritis) Chemical, electrolyte, or mineral imbalances (such as decreased potassium level)
ICD-10 code K56. 69 for Other intestinal obstruction is a medical classification as listed by WHO under the range - Diseases of the digestive system .
Colonic inertia is defined as the inability of the colon to modify stool to an acceptable consistency and move the stool from the cecum to the rectosigmoid area at least once every 3 days. 1. An orderly evaluation can confirm the diagnosis and aids in the selection of patients who will benefit from surgical therapy.
609.
560.9ICD-9-CM Diagnosis Code 560.9 : Unspecified intestinal obstruction.
It often requires surgery. Any impairment, arrest, or reversal of the normal flow of intestinal contents toward the anal canal. Any impairment, arrest, or reversal of the normal flow of intestinal contents toward the anus.
The 2022 edition of ICD-10-CM K56.69 became effective on October 1, 2021.
Intestinal pseudo-obstruction is a clinical syndrome caused by severe impairment in the ability of the intestines to push food through. It is characterised by the signs and symptoms of intestinal obstruction without any lesion in the intestinal lumen. Clinical features can include abdominal pain, nausea, severe distension, vomiting, dysphagia, diarrhea and constipation, depending upon the part of the gastrointestinal tract involved. The condition can begin at any age and it can be a primary condition (idiopathic or inherited) or caused by another disease (secondary).
K59.8 is a billable ICD code used to specify a diagnosis of other specified functional intestinal disorders. A 'billable code' is detailed enough to be used to specify a medical diagnosis.
If the physician documents a large intestine obstruction for example, and does not find a specific cause, then the unspecified code, K56.609, Unspecified intestinal obstruction, unspecified as to partial versus complete obstruction is assigned. There is no condition associated with it so it is unspecified.
In addition, coders may see Excludes1 note at K56 that excludes intestinal obstruction with these conditions.
Bowel obstruction usually occurs when the lumen of the intestine is either obstructed by fecal matter or other debris/foreign bodies, or is compressed by external forces such as tumors or adhesions. These are called a “mechanical” cause of the obstruction. 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: 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:
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.
What ACHI codes should be assigned for decompression of colonic pseudo-obstruction and gastric pseudo-obstruction?
Refer to the clinical documentation to obtain information as to how the decompression was performed e.g. was it via an endoscope or insertion of tube, or was it done at time of an open procedure?