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2025 ICD-10-CM code K51.411

Inflammatory polyps of the colon with rectal bleeding.

Do not code K51.411 if the polyps are adenomatous (D12.6) or if there is no evidence of inflammation.Use additional codes to document any other complications, such as intestinal obstruction or abscess.

Medical necessity for services related to K51.411 is established by the presence of symptoms (rectal bleeding, abdominal pain, changes in bowel habits) and confirmation of inflammatory polyps through colonoscopy and biopsy.The need for further intervention, such as medication, polypectomy, or surgery, must be justified based on the severity of symptoms, size and number of polyps, and the presence of complications.

Clinicians responsible for diagnosing and managing K51.411 include gastroenterologists, colorectal surgeons, and primary care physicians.Responsibilities include performing a thorough evaluation (including colonoscopy and biopsy), distinguishing inflammatory polyps from other types of polyps (e.g. adenomatous polyps), and developing a treatment plan. The plan may include medication, endoscopic removal of polyps, or surgery in cases of obstruction or other complications.

In simple words: This code indicates inflamed polyps in the colon causing bleeding from the rectum.

This code describes a condition characterized by the presence of inflammatory polyps in the colon, accompanied by bleeding from the rectum.These polyps are typically associated with inflammatory bowel disease (IBD).

Example 1: A 45-year-old patient with a history of ulcerative colitis presents with rectal bleeding. Colonoscopy reveals multiple inflammatory polyps in the colon, confirming the diagnosis of K51.411., A patient with Crohn's disease experiences abdominal pain and bloody stools. Imaging and endoscopic examination reveal inflammatory polyps in the colon along with rectal bleeding, thus K51.411 is used along with the code for Crohn's disease., During a routine colonoscopy, a physician identifies several inflammatory polyps. The patient reports occasional rectal bleeding. Biopsies confirm the presence of inflammatory changes, leading to the code K51.411.

Documentation should include details of the colonoscopy findings (number, size, and location of polyps), evidence of rectal bleeding (patient history, lab results), and any associated symptoms (pain, changes in bowel habits).Histopathology reports from biopsies confirming the inflammatory nature of the polyps are crucial. Any relationship to underlying IBD should also be documented.

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