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2025 ICD-10-CM code K51.419

This ICD-10-CM code signifies inflammatory polyps in the colon with unspecified complications.

Adhere to the official ICD-10-CM coding guidelines and ensure the documentation fully supports the selection of K51.419. Pay close attention to the Excludes1 and Excludes2 notes to avoid inappropriate code selections. The seventh character is used to describe the encounter, so the presence of complications would dictate the 7th character utilized.If more specific complications can be identified and documented, use a more precise code from the K51.4 series.

Medical necessity for coding K51.419 is established by the presence of inflammatory polyps in the colon.The presence of any complicating factor is further justification, although the specific complication does not need to be defined beyond the scope of the documentation.The clinical justification should link symptoms, findings, and the overall clinical picture.

The clinical responsibility for coding K51.419 rests with the physician or qualified healthcare professional who makes the diagnosis. This includes appropriate documentation of the presence of inflammatory polyps and any associated complications.

IMPORTANT:Related codes include other specific K51.4 codes (e.g., K51.411, K51.412, K51.418) if the specific complication can be identified.K51.5 codes refer to left-sided colitis with various complications.Excludes notes specify that this code should not be used for certain conditions, including adenomatous polyps or polyposis of the colon (D12.6), polyps of the colon NOS (K63.5), or Crohn's disease (K50).

In simple words: This code means that a person has inflammation and abnormal growths (polyps) in their colon, and there are some problems related to this, but the exact nature of those problems is unknown.

K51.419, from the ICD-10-CM classification system, denotes inflammatory polyps of the colon accompanied by unspecified complications.This code is used when inflammatory polyps are present in the colon, and there are associated complications that are not further specified in the medical documentation.It falls under the broader category of noninfective enteritis and colitis (K50-K52).The unspecified nature of the complications necessitates careful documentation to ensure appropriate coding.

Example 1: A patient presents with symptoms of colitis, and a colonoscopy reveals inflammatory polyps and mild rectal bleeding.The bleeding is not severe enough to warrant a more specific complication code, therefore K51.419 is appropriate., A patient undergoes a colonoscopy which shows several inflammatory polyps.During the procedure, a small perforation occurs which requires immediate intervention.The perforation is documented as a complication, making K51.419 the most accurate code, given the lack of further detail in the documentation., A patient with known inflammatory bowel disease has a routine colonoscopy that shows the presence of inflammatory polyps and a mild case of anemia that is directly correlated to the intestinal disease, however, it isn't documented extensively, therefore K51.419 is the most appropriate code.

Complete and thorough documentation of the colonoscopy findings is crucial. This includes the location, size, and number of inflammatory polyps.Detailed notes on any complications, however minor, should be included.Imaging reports, pathology results, and operative notes (if applicable) should support the coding.

** K51.419 is a relatively broad code.Accurate documentation is key to appropriate coding and accurate reimbursement.Ensure that all relevant findings and complications are meticulously recorded in the patient's chart.Always refer to the latest official ICD-10-CM guidelines for any updates or changes.

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