2025 ICD-10-CM code K75.1
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of the liver - Other inflammatory liver diseases Diseases of the digestive system Feed
Phlebitis of the portal vein, also known as pylephlebitis.
No modifiers are typically applied to ICD-10 diagnosis codes.
Medical necessity for coding K75.1 is established by the presence of clinical findings suggestive of portal vein inflammation (e.g., abdominal pain, fever, jaundice, elevated inflammatory markers), confirmed by imaging and potentially other diagnostic tests.The underlying cause must be assessed to guide appropriate treatment and determine medical necessity.
Diagnosis and management of portal vein phlebitis requires a multidisciplinary approach, often involving gastroenterologists, hepatologists, and radiologists.Treatment may include antibiotics (if infectious), anticoagulants (if thrombotic), or other interventions depending on the underlying cause.
In simple words: This code describes inflammation of the portal vein, a major vein carrying blood from the digestive system to the liver.This inflammation can be caused by infection or other problems. Doctors use imaging tests and blood work to diagnose the cause.
K75.1, Phlebitis of portal vein, refers to inflammation of the portal vein.The portal vein is a large vein that carries blood from the digestive organs to the liver.This condition can arise from various causes, including infection, thrombosis, or other inflammatory processes.Accurate diagnosis requires clinical examination, imaging studies (such as ultrasound or CT scan), and potentially blood tests to identify the underlying cause.
Example 1: A 55-year-old male presents with abdominal pain, fever, and jaundice. Imaging reveals inflammation of the portal vein consistent with pylephlebitis. Blood cultures are positive for *E. coli*, indicating an infectious etiology., A 40-year-old female with a history of Crohn's disease develops abdominal pain and elevated inflammatory markers.Imaging shows portal vein thrombosis leading to secondary inflammation (phlebitis)., A 70-year-old male with a history of liver cirrhosis presents with worsening ascites and abdominal pain.Imaging reveals portal vein inflammation, likely related to underlying liver disease.
Detailed history and physical examination focusing on abdominal symptoms.Complete blood count, liver function tests, and blood cultures should be ordered.Appropriate imaging (ultrasound, CT scan, or MRI) is crucial for diagnosis and assessing the extent of the inflammation.Any other relevant laboratory investigations based on suspected etiology.
** Differential diagnosis of portal vein phlebitis is crucial and should include consideration of other conditions such as portal vein thrombosis, liver abscess, and other inflammatory liver diseases.The severity and management of the condition will dictate the required level of clinical documentation.
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- Modifier TC rule: Not applicable to ICD-10 codes.
- Fee Schedule: Not applicable to ICD-10 codes.
- Specialties:Gastroenterology, Hepatology, Radiology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office