2025 ICD-10-CM code K51.519
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Gastrointestinal Diseases - Left sided colitis with complications Diseases of the digestive system Feed
Left-sided colitis with unspecified complications.
Modifiers are not applicable to ICD-10-CM codes. Modifiers are used with CPT and HCPCS codes.
Medical necessity for coding K51.519 requires documentation supporting the diagnosis of left-sided colitis and the presence of unspecified complications. Evidence may include clinical findings, imaging studies, and laboratory results that justify the need for medical intervention and treatment.
The clinical responsibility includes diagnosing and treating the left-sided colitis and managing any associated complications. This may involve various specialists, such as gastroenterologists, surgeons, and other healthcare professionals.The physician's duties will depend upon the severity and the specifics of the case.
- Diseases of the digestive system
- K51.519 falls under the broader category of K51 (Ulcerative colitis), specifically addressing left-sided involvement with unspecified complications. It's further classified under the chapter of Diseases of the digestive system (K00-K95).
In simple words: This code describes inflammation in the left side of the large intestine (colon) with problems that haven't been specified by the doctor. More information is needed to understand the exact complications.
This ICD-10-CM code signifies left-sided colitis, a type of inflammatory bowel disease (IBD) affecting the left side of the colon, with unspecified complications.The complications are not specified, requiring further clinical documentation to clarify the specific issues.
Example 1: A 45-year-old female patient presents with symptoms of left-sided abdominal pain, bloody stools, and weight loss. Colonoscopy reveals left-sided colitis with areas of ulceration.Additional testing is needed to rule out other complications like anemia and infections., A 60-year-old male patient with a history of ulcerative colitis experiences a flare-up with severe left-sided pain and fever.The physician orders tests to assess for potential complications, such as abscesses or perforation.Treatment may involve hospitalization, intravenous fluids, and medications., A 30-year-old patient with a diagnosis of left-sided colitis undergoes a colonoscopy revealing areas of inflammation and ulceration, but no specific complications.The physician initiates medical management focusing on symptom control and disease activity monitoring.
Complete and detailed medical history, physical examination findings, results of laboratory tests (e.g., complete blood count (CBC), inflammatory markers), endoscopy reports (with images, if available), pathology results (if biopsies were taken), and treatment records (medications, procedures, response to therapy) are required for proper coding.
** The unspecified complications associated with this code necessitate thorough documentation to accurately reflect the patient's clinical status.Always verify the specific complications identified to ensure accurate code assignment.
- Revenue Code: Revenue codes will vary depending on the specific services provided and the healthcare setting. Consult your local revenue code guidelines.
- RVU: RVUs are not directly assigned to ICD-10 codes.RVUs are associated with procedural codes (CPT codes) and are used for reimbursement calculations.The RVU value will depend on the specific procedures performed to treat the colitis.
- Global Days: Not applicable to ICD-10 codes. Global days are associated with surgical procedure codes (CPT) and determine the period included in the reimbursement for a surgical procedure.
- Payment Status: Active
- Modifier TC rule: Not applicable to ICD-10-CM codes.
- Fee Schedule: Not applicable to ICD-10-CM codes.
- Specialties:Gastroenterology, Surgery, Internal Medicine
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center