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2025 ICD-10-CM code K51.012

Ulcerative (chronic) pancolitis with intestinal obstruction.

Use additional codes to identify manifestations, such as pyoderma gangrenosum (L88).

Medical necessity for the use of this code is established by the confirmed diagnosis of ulcerative colitis affecting the entire colon (pancolitis) and the presence of intestinal obstruction requiring medical intervention.

Gastroenterologists are typically responsible for diagnosing and managing ulcerative colitis, including cases with intestinal obstruction.

In simple words: This condition involves long-term inflammation and ulcers throughout the large intestine, leading to a blockage that prevents bowel movements.

Ulcerative (chronic) pancolitis with intestinal obstruction. This code describes a condition where the entire colon is affected by ulcerative colitis, and there is a blockage preventing the normal passage of intestinal contents.

Example 1: A patient with a history of ulcerative colitis presents with abdominal pain, distension, and inability to pass stool or gas. Imaging reveals a blockage in the colon, confirming intestinal obstruction., A patient undergoing treatment for ulcerative pancolitis develops worsening abdominal pain and vomiting. A CT scan shows a stricture in the colon causing obstruction., A patient with severe ulcerative pancolitis experiences toxic megacolon, a complication leading to colonic dilation and obstruction. This requires immediate medical intervention.

Documentation should include details of the patient's history of ulcerative colitis, the presenting symptoms of obstruction (e.g., abdominal pain, distension, vomiting, lack of bowel movements), physical examination findings, imaging results confirming the obstruction (e.g., CT scan, X-ray), and any interventions performed (e.g., surgery, medication).

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