2025 ICD-10-CM code K51.812
(Active) Effective Date: N/A Diseases of the digestive system - Noninfective enteritis and colitis Diseases of the digestive system (K00-K95) Feed
Other ulcerative colitis with intestinal obstruction.
Medical necessity for services related to K51.812 is established by the presence of signs and symptoms of intestinal obstruction, confirmed by appropriate diagnostic testing, along with documentation of existing ulcerative colitis.The medical record should clearly demonstrate the need for interventions such as surgery or medical management to address the obstruction.
Clinicians responsible for diagnosing and managing K51.812 would typically be gastroenterologists or colorectal surgeons. Their duties include confirming the diagnosis through examinations such as colonoscopy, biopsies and imaging studies, and providing appropriate treatment such as medication, dietary modifications, and potentially surgery in severe cases.
In simple words: This condition involves inflammation and sores in the large intestine, along with a blockage that prevents food from passing through normally. It is a specific type of ulcerative colitis, a chronic digestive disease.
This code represents a diagnosis of ulcerative colitis, other than pancolitis or left-sided colitis, with the added complication of intestinal obstruction. Ulcerative colitis is a chronic inflammatory bowel disease affecting the large intestine and rectum.Intestinal obstruction occurs when the normal flow of intestinal contents is blocked.
Example 1: A 35-year-old patient with a history of ulcerative colitis presents with severe abdominal pain, distention, and vomiting. Imaging reveals a blockage in the colon, confirming intestinal obstruction in addition to their underlying ulcerative colitis., A patient with long-standing ulcerative colitis experiences worsening abdominal pain and altered bowel habits.A colonoscopy reveals areas of inflammation and narrowing in the colon causing obstruction. , During a routine colonoscopy for surveillance of ulcerative colitis, a stricture is discovered that is partially obstructing the flow of stool. The patient reports increased abdominal pain and constipation.
Documentation for K51.812 should include clinical findings such as abdominal pain, distension, nausea, vomiting, and changes in bowel habits.Diagnostic imaging reports (e.g., CT scan, X-ray) or endoscopic findings demonstrating obstruction should be included. The type and location of the obstruction and its relationship to the patient's ulcerative colitis should be clearly documented.
- Payment Status: Active
- Specialties:Gastroenterology, Colorectal Surgery
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Ambulatory Surgical Center, Office