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2025 ICD-10-CM code K51.418

Inflammatory polyps of colon with other complication.

Use additional codes to identify manifestations of the inflammatory polyps.

Medical necessity must be established for any procedures or treatments related to the inflammatory polyps and the specific complication.This will typically involve demonstrating the severity of the symptoms, the failure of conservative treatment options, and the potential benefits of the proposed intervention.

The physician is responsible for documenting the diagnosis of inflammatory polyps of the colon with other complications. The documentation should describe the specific complication, which could be anything other than rectal bleeding, intestinal obstruction, fistula, or abscess. The diagnosis should be supported by appropriate clinical findings, such as endoscopic examination and biopsy results. Additional codes may be required to fully describe the patient's condition, such as a code for the manifestation of the inflammatory polyp (e.g., pyoderma gangrenosum). The physician should also document any associated conditions or comorbidities that may impact treatment decisions.

In simple words: This code represents inflammatory polyps in the colon with additional complications other than bleeding, obstruction, fistula, or abscess.

Inflammatory polyps of colon with other complication. This code excludes adenomatous polyp of colon (D12.6), polyposis of colon (D12.6), and polyps of colon NOS (K63.5). It also excludes Crohn's disease [regional enteritis] (K50.-). Use additional code to identify manifestations, such as pyoderma gangrenosum (L88).

Example 1: A patient with ulcerative colitis undergoes a colonoscopy, which reveals inflammatory polyps with evidence of perforation., A patient with known inflammatory polyps of the colon presents with severe abdominal pain and fever, found to have an intra-abdominal abscess., A patient experiences toxic megacolon, which is caused by inflammatory polyps in the colon.

Documentation should include the location and type of inflammatory polyps, the specific nature of the "other" complication, and any associated signs and symptoms. Imaging and/or endoscopic reports should be available.Additional codes should be used to specify the associated complication.

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