2025 ICD-10-CM code K51.819
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Gastrointestinal Diseases - Other ulcerative colitis with complications Diseases of the digestive system Feed
Other ulcerative colitis with unspecified complications.
Modifiers may be applicable depending on the circumstances of the visit and the services rendered. Consult your payer's guidelines and coding manuals for further details.
Medical necessity for the diagnosis of ulcerative colitis and documentation of its associated complications is established through clinical findings, diagnostic testing, and the patient’s symptoms.Specific payer requirements should be consulted.
The clinical responsibility includes accurate diagnosis and documentation of ulcerative colitis, identification and documentation of any associated complications, and appropriate management of the patient's condition.This may involve various specialists such as gastroenterologists and surgeons.
In simple words: This code is used when someone has ulcerative colitis (a type of inflammatory bowel disease) but the doctor doesn't specify exactly what problems it's causing.The doctor will use additional codes to describe any specific issues like bleeding or blockages.
This code classifies other forms of ulcerative colitis where the specific complication is not specified or documented.It is crucial to use additional codes to specify any present manifestations or complications, such as rectal bleeding, intestinal obstruction, fistula, or abscess.This ensures accurate billing and comprehensive clinical documentation.
Example 1: A 45-year-old patient presents with a history of ulcerative colitis.A colonoscopy reveals active inflammation but no specific complications.The physician documents the diagnosis as other ulcerative colitis with unspecified complications (K51.819)., A 30-year-old patient with a known history of ulcerative colitis is admitted to the hospital with severe abdominal pain and bloody diarrhea.Imaging studies reveal intestinal obstruction. The physician codes the encounter with K51.819 and an additional code for intestinal obstruction., A 60-year-old patient with ulcerative colitis experiences a perianal fistula.The physician documents the diagnosis of other ulcerative colitis with unspecified complications (K51.819) and uses an additional code for the perianal fistula.
Detailed history of present illness, including symptoms, duration, and severity.Complete physical examination findings.Results of relevant diagnostic tests (e.g., colonoscopy, blood tests, imaging studies).Documentation of any complications and their severity.Treatment plan and response to treatment.
** Accurate documentation of any associated complications is paramount to avoid inaccurate coding. Consult the latest ICD-10-CM guidelines and payer-specific instructions for complete coding guidelines.
- Revenue Code: Revenue codes will vary depending on the specific services provided and payer. Consult your payer's guidelines.
- RVU: RVUs are not applicable to ICD-10 codes.Reimbursement is determined by the specific services rendered and the payer's fee schedule.
- Global Days: Not applicable to diagnostic codes.
- Payment Status: Active
- Modifier TC rule: Not applicable to diagnostic codes.
- Fee Schedule: Not applicable to ICD-10 codes.
- Specialties:Gastroenterology, Colorectal Surgery
- Place of Service:Office, Hospital Inpatient, Hospital Outpatient, Ambulatory Surgical Center