2025 ICD-10-CM code K63.8
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of the digestive system - Other specified diseases of intestine Diseases of the digestive system Feed
Other specified diseases of the intestine.
Modifiers might be applicable depending on the circumstances of the encounter and the specific services provided.Refer to the current modifier guidelines for applicable modifiers.
Medical necessity for the assignment of K63.8 is established based on the presence of symptoms or findings indicative of an intestinal disorder, with attempts to determine a precise diagnosis having been unsuccessful.This necessitates further investigation and management to identify the etiology of the presenting clinical picture.
The clinical responsibility for this code depends entirely on the underlying unspecified intestinal disease.It involves the appropriate workup, diagnosis, and management of intestinal disorders by gastroenterologists or general surgeons.
In simple words: This code covers various unspecified problems with the intestines (the small and large intestines).These problems might affect bowel movements, how well your body absorbs nutrients, and may cause stomach pain.The doctor needs more information to give a precise diagnosis.
This ICD-10-CM code encompasses a variety of intestinal diseases not otherwise specified by more specific codes within the K63 category.It includes conditions affecting the small or large intestine, impacting bowel movements, nutrient absorption, and potentially causing abdominal pain.Specific diagnoses falling under this code require further clinical clarification and detailed documentation.
Example 1: A patient presents with chronic abdominal pain and altered bowel habits, but investigations (imaging, endoscopy) fail to pinpoint a specific cause.K63.8 may be assigned pending further diagnostic tests., A patient has undergone extensive intestinal surgery, and there are persistent, unexplained symptoms such as mild bleeding or discomfort.K63.8 may be appropriate for reporting unusual post-operative complications., A patient with a known condition like Crohn's disease experiences a flare-up, but the specific location or nature of the complications don't fit the typical codes assigned for that condition.If a definitive sub-classification is not possible, K63.8 may be used as a temporary code until more information becomes available.
Detailed medical history, thorough physical examination notes, results of relevant investigations (e.g., stool analysis, imaging studies, endoscopy reports), and any relevant pathological reports are essential for accurate coding under K63.8.Physician documentation must justify the assignment of this code based on findings and the inability to specify a more precise diagnosis.
** K63.8 should be used cautiously and only when a more specific diagnosis from the K63 category cannot be established.Continuous reassessment and refinement of the diagnosis as more information becomes available is crucial.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Gastroenterology, General Surgery
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center