2025 ICD-10-CM code K51.811
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Gastrointestinal Diseases - Other ulcerative colitis Diseases of the digestive system Feed
Other ulcerative colitis with rectal bleeding.
Modifiers may be applicable depending on the circumstances of the encounter.Consult the current modifier guidelines.
Medical necessity for coding K51.811 is established by the presence of symptoms consistent with ulcerative colitis and confirmed by colonoscopy or other imaging. The severity of rectal bleeding should be documented to justify the level of care provided.
The clinical responsibility for managing a patient with K51.811 includes diagnosis through colonoscopy or other imaging, assessment of disease severity, and management of bleeding.Treatment may involve medication (e.g., aminosalicylates, corticosteroids, biologics) or surgery depending on severity and response to treatment.
In simple words: This code is for a type of inflammatory bowel disease called ulcerative colitis where there is bleeding from the rectum.
This ICD-10-CM code signifies other forms of ulcerative colitis complicated by rectal bleeding.It encompasses cases of ulcerative colitis not otherwise specified, but with the presence of bleeding from the rectum as a significant comorbidity. This excludes Crohn's disease and other specified forms of colitis.
Example 1: A 45-year-old female presents with chronic diarrhea, abdominal pain, and bright red rectal bleeding. Colonoscopy reveals extensive ulcerative colitis involving the rectum and sigmoid colon.The patient requires hospitalization for intravenous fluids, blood transfusion, and treatment with corticosteroids., A 60-year-old male with a history of ulcerative colitis experiences worsening symptoms, including increased frequency of bloody stools.He is evaluated in the outpatient setting. After a diagnostic colonoscopy showing extensive inflammation and rectal bleeding, a treatment plan involving aminosalicylates and biologic therapy is initiated., A 30-year-old female with a known diagnosis of ulcerative colitis develops severe rectal bleeding requiring emergent intervention. She is admitted to the hospital for blood transfusion, bowel rest, and initiation of intravenous corticosteroids and biologic therapy. The patient is closely monitored for potential complications, such as anemia or toxic megacolon.
Complete history and physical examination, including detailed bowel symptom assessment. Results of colonoscopy with biopsy,complete blood count, stool studies (occult blood testing, cultures).Imaging studies (abdominal X-ray, CT scan) as clinically indicated.Documentation of treatment plan, medication administration and response to therapy.Progress notes reflecting the clinical course and response to treatment.
** This code should be used in conjunction with other codes to fully capture the patient's clinical presentation and comorbidities.Additional codes may be necessary to document the severity of rectal bleeding and other associated complications.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Gastroenterology
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center