2025 ICD-10-CM code K51.014
(Active) Effective Date: N/A Diseases of the digestive system - Noninfective enteritis and colitis Diseases of the digestive system (K00-K95) Feed
Ulcerative (chronic) pancolitis with abscess.
Medical necessity for treatment of ulcerative pancolitis with abscess is established by the presence of active inflammation and the abscess, as confirmed by diagnostic tests.Treatment aims to resolve the infection and manage the underlying inflammatory bowel disease.
Clinicians are responsible for diagnosing ulcerative pancolitis based on patient symptoms, endoscopic findings, and histopathology.They also manage the condition and its complications, such as abscesses, with appropriate medical or surgical interventions.
In simple words: This condition involves long-term inflammation and sores throughout the large intestine, along with a contained pocket of infection (abscess).
Ulcerative (chronic) pancolitis with abscess. This code specifies ulcerative pancolitis, a form of inflammatory bowel disease affecting the entire colon, with the presence of an abscess as a complication.
Example 1: A patient with a long history of ulcerative pancolitis presents with abdominal pain, fever, and leukocytosis. Imaging reveals a pericolonic abscess. The diagnosis is ulcerative (chronic) pancolitis with abscess (K51.014)., A patient undergoes a colonoscopy for evaluation of ulcerative colitis and is found to have severe inflammation throughout the colon and a localized abscess in the sigmoid colon. The diagnosis is ulcerative (chronic) pancolitis with abscess (K51.014)., A patient with known ulcerative pancolitis develops a pelvic abscess requiring surgical drainage. The diagnosis is coded as ulcerative (chronic) pancolitis with abscess (K51.014).
Documentation should include endoscopic findings, imaging results (if applicable), details of the abscess (location, size), and clinical signs and symptoms. Any procedures performed related to the abscess should also be documented.
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- Specialties:Gastroenterology, Colorectal Surgery
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital,Ambulatory Surgical Center, Office