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2025 ICD-10-CM code K51.412

Inflammatory polyps of colon with intestinal obstruction.

Do not code for non-specific polyps (K63.5) in addition to K51.412. If other complications are present, additional codes may be needed (e.g., for rectal bleeding).

Medical necessity is established by the presence of inflammatory polyps causing intestinal obstruction. This impacts the patient's health and requires intervention to alleviate symptoms and prevent complications.

Diagnosis and treatment are typically managed by gastroenterologists or colorectal surgeons. Responsibilities include confirming the diagnosis through colonoscopy and biopsy, managing any complications like obstruction, and providing long-term monitoring for recurrence or progression to more severe conditions.

In simple words: This condition involves swollen growths (polyps) in the colon, which are inflamed and causing a blockage in the intestines.

This code describes a condition where inflammatory polyps in the colon are causing a blockage, preventing the normal passage of stool.

Example 1: A patient presents with abdominal pain, distension, and inability to pass stool. Colonoscopy reveals multiple inflamed polyps obstructing the colon., A patient with known inflammatory bowel disease experiences worsening symptoms of abdominal cramping and constipation. Imaging studies show a narrowing of the colon due to inflammatory polyps, causing partial obstruction., During a routine colonoscopy, inflammatory polyps are discovered and biopsied. Although not currently causing symptoms, their size and location suggest a potential risk of future obstruction, requiring ongoing surveillance.

Documentation should include details of the colonoscopy findings, size and location of polyps, biopsy results confirming inflammation, and evidence of intestinal obstruction (e.g., imaging studies, symptoms). Medical history including any underlying inflammatory bowel disease should also be documented.

** This information is current as of November 30, 2024, and may be subject to change. For the most accurate and up-to-date information always cross-reference with the official coding guidelines and regulations.

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