2025 ICD-10-CM code K50.912
Crohn's disease, unspecified, with intestinal obstruction.
Medical necessity is established by the presence of signs, symptoms, and diagnostic findings consistent with intestinal obstruction in a patient with known Crohn's disease.The documentation must clearly link the obstruction to the Crohn's disease. The severity of the obstruction should warrant the level of intervention, whether it be medical management or surgical intervention.
The physician is responsible for diagnosing the Crohn's disease and the intestinal obstruction, which may involve physical examination, review of symptoms, imaging studies (such as CT scans or small bowel follow-through), and possibly endoscopic procedures.The physician is also responsible for determining the appropriate treatment plan, which might include medication, dietary changes, or surgery.Thorough documentation of all findings, procedures, and treatment decisions is crucial.
In simple words: This code indicates a blockage in the intestines due to Crohn's disease.
This code represents Crohn's disease at an unspecified site with the complication of intestinal obstruction.Crohn's disease is a chronic inflammatory bowel disease that can affect any part of the gastrointestinal tract, characterized by transmural inflammation (affecting all layers of the bowel wall). It often leads to complications like abscesses, fistulas, and strictures, which can cause obstructions.This particular code specifies intestinal obstruction as the current complication.
Example 1: A 35-year-old patient with a history of Crohn's disease presents to the emergency department with abdominal pain, distension, vomiting, and inability to pass stool or gas.A CT scan reveals a small bowel obstruction due to a stricture from Crohn's disease., A patient with long-standing Crohn's disease experiences recurrent episodes of crampy abdominal pain, bloating, and constipation. Diagnostic imaging confirms an intestinal obstruction caused by a narrowing of the intestines due to inflammation and scarring from Crohn's., A young adult known to have Crohn's disease develops increasing abdominal pain, nausea, and vomiting after several days of decreased appetite and watery diarrhea. Imaging studies show a partial small bowel obstruction associated with active inflammation related to Crohn's disease.
Documentation should include details of the patient's history of Crohn's disease, the current symptoms, physical examination findings (e.g., abdominal tenderness, distension, bowel sounds), results of imaging studies (e.g., CT, MRI, X-ray) confirming the obstruction and its location, and any other relevant laboratory findings. The severity of the obstruction and the chosen treatment approach should also be documented.
- Specialties:Gastroenterology, General Surgery
- Place of Service:Inpatient Hospital, Emergency Room - Hospital,On Campus-Outpatient Hospital