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2025 ICD-10-CM code K51.41

Inflammatory polyps of colon with complications.

Use additional codes to identify the specific complications (e.g., rectal bleeding, intestinal obstruction, fistula, abscess).

Medical necessity must be established by demonstrating the presence of inflammatory polyps and the associated complications, requiring medical intervention to address the patient's symptoms and prevent further deterioration.

The physician is responsible for diagnosing the inflammatory polyps of the colon, identifying and managing the associated complications, and providing appropriate treatment based on the patient's condition.

In simple words: This code indicates the patient has inflamed polyps in their colon, along with additional medical issues.

This code represents inflammatory polyps of the colon that are associated with complications such as rectal bleeding, intestinal obstruction, fistula, or abscess.

Example 1: A patient presents with abdominal pain, rectal bleeding, and changes in bowel habits. Upon examination, inflammatory polyps are found in the colon, and an intestinal obstruction is discovered through imaging studies., A patient with a history of inflammatory polyps of the colon develops a fistula, confirmed by imaging and physical examination. The fistula is causing discomfort and requires medical intervention., A patient with known inflammatory polyps experiences severe abdominal pain, fever, and leukocytosis. A CT scan reveals an abscess formation near the site of the polyps, requiring drainage and antibiotic therapy.

Documentation should include the location and characteristics of the inflammatory polyps, the specific complications present, diagnostic test results (e.g., imaging, laboratory findings), and treatment plans.

** Excludes1: Crohn's disease (K50.-), Excludes2: adenomatous polyp of colon (D12.6), polyposis of colon (D12.6), polyps of colon NOS (K63.5). Use additional code to identify manifestations, such as pyoderma gangrenosum (L88). Use additional code to identify any associated fistulas, if applicable: anal fistula (K60.3-), anorectal fistula (K60.5-), rectal fistula (K60.4-).

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