ICD-10 Codes for Reporting Two Common Inflammatory Bowel Diseases

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The article gives a detailed overview of two common inflammatory bowel diseases and their related ICD-10 codes.


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1. ICD-10 Codes to Report Two Common Inflammatory Bowel Diseases The article gives a detailed overview of two common inflammatory bowel diseases and their related ICD-10 codes. Outsource Strategies International United States

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www.outsourcestrategies.com 800 670 2809 Inflammatory bowel disease IBD is a specific term used to describe a group of intestinal disorders that cause prolonged inflammation of the digestive or gastrointestinal GI tract. The GI tract starts from the mouth to the anus and comprises organs that digest food absorb nutrients and process waste products. Inflammation anywhere along the GI tract disrupts this normal process. Reports suggest that about 10-20 percent of people diagnosed with IBD have a family history of this condition. The exact cause of IBD is not known but in most cases is the result of an improper immune response. Inflammatory bowel disease symptoms vary depending on the type and severity of inflammation and the location of inflammation. Symptoms generally range from mild to severe and include – abdominal pain persistent diarrhea fatigue rectal bleeding and severe weight loss. The condition can be very painful debilitating and if left untreated can lead to severe life- threatening complications like colon cancer bowel obstruction ulcers fistulas anal fissure and blood clots. Even though IBD can cause some amount of discomfort it is possible to prevent or manage the disease effectively and still live a healthy and active lifestyle. People can reduce the risk of developing IBD or prevent a relapse by - eating healthy foods exercising regularly and quitting smoking. When it comes to diagnosing the symptoms and causes of IBD gastroenterologists or other physicians can rely on experienced medical billing companies. Established billing companies will provide the services of skilled medical coding service providers who have extensive knowledge about the codes and related guidelines that helps in efficiently managing the claim submission processes. Let’s take a look at the two common inflammatory bowel diseases and their applicable codes – Ulcerative Colitis UC – Regarded as a chronic inflammatory bowel disease Ulcerative colitis results in long term inflammation and ulcers sores in the digestive tract. It occurs when the lining of the large intestine also called colon rectum or both becomes inflamed. The inflammation causes the bowel to empty its contents more frequently. As the specific cells on the surface of the lining of the bowel die ulcers begin to form which in turn can result in bleeding and discharge of mucus and pus. Generally affecting people of all age groups this condition is most commonly diagnosed in those in the age group of 15-35 years. The condition most commonly begins in the rectum and gradually spreads upwards and sometimes involves the entire colon. In the initial stages people with UC may not experience any specific symptoms or sometimes mild symptoms. However in some cases symptoms can become severe. Some of the most common symptoms include – abdominal pain bloody stools rectal pain and bleeding diarrhea weight loss and malnutrition. If left untreated the condition can lead to severe complications like - bleeding and dehydration a hole in the colon liver disease bone loss osteoporosis and inflammation of your skin joints and eyes. Treatment modalities for this condition generally involve drug therapy and surgery. Anti-

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www.outsourcestrategies.com 800 670 2809 inflammatory drugs help reduce inflammation by suppressing the immune system that starts the inflammation. Surgery to remove the colon will be considered as an option if medications alone cannot help control the symptoms. Surgical option will be considered only when there is massive bleeding perforation of the colon or severe blockage. ICD – 10 codes for diagnosing Ulcerative Colitis include –  K51 - Ulcerative colitis  K51.0 - Ulcerative chronic pancolitis  K51.00 - Ulcerative chronic pancolitis without complications  K51.01 - Ulcerative chronic pancolitis with complications  K51.011 - Ulcerative chronic pancolitis with rectal bleeding  K51.012 - Ulcerative chronic pancolitis with intestinal obstruction  K51.013 - Ulcerative chronic pancolitis with fistula  K51.014 - Ulcerative chronic pancolitis with abscess  K51.018 - Ulcerative chronic pancolitis with other complication  K51.019 - Ulcerative chronic pancolitis with unspecified complications  K51.2 - Ulcerative chronic proctitis  K51.20 - Ulcerative chronic proctitis without complications  K51.21 - Ulcerative chronic proctitis with complications  K51.211 - Ulcerative chronic proctitis with rectal bleeding  K51.212 - Ulcerative chronic proctitis with intestinal obstruction  K51.213 - Ulcerative chronic proctitis with fistula  K51.214 - Ulcerative chronic proctitis with abscess  K51.218 - Ulcerative chronic proctitis with other complication  K51.219 - Ulcerative chronic proctitis with unspecified complications  K51.3 - Ulcerative chronic rectosigmoiditis  K51.30 - Ulcerative chronic rectosigmoiditis without complications  K51.31 - Ulcerative chronic rectosigmoiditis with complications  K51.311 - Ulcerative chronic rectosigmoiditis with rectal bleeding  K51.312 - Ulcerative chronic rectosigmoiditis with intestinal obstruction  K51.313 - Ulcerative chronic rectosigmoiditis with fistula  K51.314 - Ulcerative chronic rectosigmoiditis with abscess  K51.318 - Ulcerative chronic rectosigmoiditis with other complication  K51.319 - Ulcerative chronic rectosigmoiditis with unspecified complications  K51.5 - Left sided colitis  K51.50 - Left sided colitis without complications  K51.51 - Left sided colitis with complications  K51.511 - Left sided colitis with rectal bleeding  K51.512 - Left sided colitis with intestinal obstruction

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www.outsourcestrategies.com 800 670 2809  K51.513 - Left sided colitis with fistula  K51.514 - Left sided colitis with abscess  K51.518 - Left sided colitis with other complication  K51.519 - Left sided colitis with unspecified complications  K51.8 - Other ulcerative colitis  K51.80 - Other ulcerative colitis without complications  K51.81 - Other ulcerative colitis with complications  K51.811 - Other ulcerative colitis with rectal bleeding  K51.812 - Other ulcerative colitis with intestinal obstruction  K51.813 - Other ulcerative colitis with fistula  K51.814 - Other ulcerative colitis with abscess  K51.818 - Other ulcerative colitis with other complication  K51.819 - Other ulcerative colitis with unspecified complications  K51.9 - Ulcerative colitis unspecified  K51.90 - Ulcerative colitis unspecified without complications  K51.91 - Ulcerative colitis unspecified with complications  K51.911 - Ulcerative colitis unspecified with rectal bleeding  K51.912 - Ulcerative colitis unspecified with intestinal obstruction  K51.913 - Ulcerative colitis unspecified with fistula  K51.914 - Ulcerative colitis unspecified with abscess  K51.918 - Ulcerative colitis unspecified with other complication  K51.919 - Ulcerative colitis unspecified with unspecified complications Crohns disease – This is a chronic long-term disease that causes inflammation of the digestive tract causing abdominal pain severe diarrhea fatigue weight loss and malnutrition. Also called ileitis or enteritis the condition can affect any part of the gut from the mouth all the way down to the anus. In most cases the condition affects the lower part of the small intestine – “ileum”. Reports from the Centers for Disease Control and Prevention suggest that Crohn’s disease affects 26-199 people per 100000 2019 statistics. Although the condition can start at any age it usually starts between the age group of 15-40 years. Symptoms can be subtle and mild or severe and obvious. If the inflammation spreads deep into the tissues it can even result in perforation of the intestine. Signs and symptoms of this condition may depend and vary on which part of the gut is affected. Typical symptoms include – pain altered appetite anemia fatigue ulcers in the gut rectal bleeding and anal fissures and weight loss. There is no specific cure for Crohn’s disease but certain treatments can help reduce the disease reoccurrences. Treatment modalities include – medication surgery and nutritional supplements. Medications include – anti-inflammatory drugs corticosteroids antibiotics and anti-diarrheal and fluid replacements. In most cases

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www.outsourcestrategies.com 800 670 2809 Crohn’s disease patients undergo surgery at some point. Surgery may help reduce symptoms that do not respond to medications or to correct other severe complications like – blockage abscess and bleeding. Even though Crohn’s is a chronic disease controlling symptoms can help people lead a normal life. Early diagnosis and treatment can help prevent serious complications. Related ICD-10 codes include –  K50 - Crohns disease regional enteritis  K50.0 - Crohns disease of small intestine  K50.00 - Crohns disease of small intestine without complications  K50.01 - Crohns disease of small intestine with complications  K50.011 - Crohns disease of small intestine with rectal bleeding  K50.012 - Crohns disease of small intestine with intestinal obstruction  K50.013 - Crohns disease of small intestine with fistula  K50.014 - Crohns disease of small intestine with abscess  K50.018 -Crohns disease of small intestine with other complication  K50.019 - Crohns disease of small intestine with unspecified complications  K50.1 - Crohns disease of large intestine  K50.10 -Crohns disease of large intestine without complications  K50.11 - Crohns disease of large intestine with complications  K50.111 - Crohns disease of large intestine with rectal bleeding  K50.112 - Crohns disease of large intestine with intestinal obstruction  K50.113 - Crohns disease of large intestine with fistula  K50.114 - Crohns disease of large intestine with abscess  K50.118 - Crohns disease of large intestine with other complication  K50.119 - Crohns disease of large intestine with unspecified complications  K50.8 - Crohns disease of both small and large intestine  K50.80 - Crohns disease of both small and large intestine without complications  K50.81 - Crohns disease of both small and large intestine with complications  K50.811 - Crohns disease of both small and large intestine with rectal bleeding  K50.812 - Crohns disease of both small and large intestine with intestinal obstruction  K50.813 - Crohns disease of both small and large intestine with fistula  K50.814 - Crohns disease of both small and large intestine with abscess  K50.818 - Crohns disease of both small and large intestine with other complication  K50.819 - Crohns disease of both small and large intestine with unspecified complications  K50.9 Crohns disease unspecified

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www.outsourcestrategies.com 800 670 2809  K50.90 - Crohns disease unspecified without complications  K50.91 - Crohns disease unspecified with complications  K50.911 - Crohns disease unspecified with rectal bleeding  K50.912 - Crohns disease unspecified with intestinal obstruction  K50.913 - Crohns disease unspecified with fistula  K50.914 - Crohns disease unspecified with abscess  K50.918 - Crohns disease unspecified with other complication  K50.919 - Crohns disease unspecified with unspecified complications Medical billing and coding for inflammatory bowel diseases can be challenging. Healthcare providers need to be well-informed about the specific ICD-10 codes to report these two common inflammatory bowel diseases. Relying on the services of a reputable medical billing and coding company can help physicians with accurate claim submission for optimal reimbursement.