2025 ICD-10-CM code K63.9
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of the digestive system - Other diseases of intestine Diseases of the digestive system Feed
Unspecified disease of the intestine.
Medical necessity is established by the presence of symptoms suggestive of an intestinal disease, coupled with the lack of a definitive diagnosis after appropriate investigations.Further diagnostic workup is generally considered medically necessary to determine the underlying etiology.
The clinical responsibility for this code lies with the physician or healthcare provider who performs the examination and determines the inability to specify the intestinal condition.Further investigations, such as imaging studies or biopsies, might be ordered to arrive at a more specific diagnosis.
In simple words: This code means there's a problem with the intestines, but doctors don't know exactly what it is yet.
This ICD-10-CM code signifies an unspecified disease affecting the intestine.It is used when a more specific diagnosis cannot be established based on available clinical information.This code encompasses a wide range of potential intestinal pathologies, requiring further investigation for precise identification.
Example 1: A patient presents with abdominal pain and discomfort, but investigations (e.g., imaging, stool tests) do not reveal a specific cause. K63.9 is used to report the nonspecific intestinal condition., A patient undergoes a colonoscopy, revealing some abnormalities, but biopsies show no malignancy or other identifiable disease.K63.9 may be used as the diagnosis in this case until further clarification is obtained., A patient experiences chronic diarrhea and weight loss, but tests for infectious diseases and inflammatory bowel disease are negative.K63.9 can be assigned pending further diagnostic evaluations.
Comprehensive medical history, physical examination notes, results of relevant diagnostic tests (e.g., stool analysis, imaging studies, biopsies), and any progress notes detailing the ongoing investigation are crucial for proper coding.
** The use of K63.9 should be temporary and only employed when a definitive diagnosis is not readily available.As more information is acquired, the code should be updated to reflect the specific condition once identified.
- Payment Status: Active
- Specialties:Gastroenterology, Internal Medicine, General Surgery
- Place of Service:Office, Hospital Inpatient, Hospital Outpatient, Ambulatory Surgical Center