Wednesday, May 22, 2024

Icd 10 Code For Ulcerative Colitis With Bleeding

Must read

Ulcerative Proctitis With Rectal Bleeding K51211

Let’s Code It – Medical Coding ICD-10-CM demonstration

The ICD10 code for the diagnosis “Ulcerative proctitis with rectal bleeding” is “K51.211”. K51.211 is a VALID/BILLABLE ICD10 code, i.e it is valid for submission for HIPAA-covered transactions.

  • K51.211 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2019 edition of ICD-10-CM K51.211 became effective on October 1, 2018.
  • This is the American ICD-10-CM version of K51.211 – other international versions of ICD-10 K51.211 may differ.

Gi Bleeding And Possible Sources With Bleeding:

The cause/etiology of GI bleeding is not always easily determined. During procedures, to work the bleeding up, there are often multiple potential sources of bleeding found but not identified as the culprit. Many of these findings have with or in in the main or subterms. When this is the case, the condition would be coded as bleeding. If there are multiple findings all of these would be reported as bleeding if with or in is listed.

What Is Bowel Obstruction Caused By

Bowel obstruction usually occurs when the lumen of the intestine is either obstructed by fecal matter or other debris/foreign bodies, or is compressed by external forces such as tumors or adhesions. These are called a mechanical cause of the obstruction. When there is a condition in which the bowel does not work correctly, but there is no structural problem causing it, it is called ileus. We are going to talk about mechanical bowel obstruction in this coding tip.

Also Check: Hydrocolloid Dressing For Stage 1 Pressure Ulcer

Pharmacogenomic And Metabolic Assessment Of Thiopurine Therapy

The PRO-Predict series of tests were developed by Prometheus, Inc. with the intent of providing guidance in determining therapeutic direction and predicting therapeutic response in individual patients. PRO-Predict 6MP is for 6-MP/Azathioprine remission and toxicity monitoring, PRO-Predict TPMT is for 6-MP/azathioprine response stratification, and PRO-Predict TNF is for anti-TNF response stratification. However, there is insufficient scientific evidence in the current medical literature to support the routine use of these tests in clinical practice.

Although there is a potential to regulate azathioprine and mercaptopurine according to measurement of metabolites, the optimal mode of therapeutic monitoring remains to be established through prospective clinical trials demonstrating that clinical outcomes are improved through metabolite monitoring. Current evidence is largely limited to studies exploring correlations between metabolite levels and azathioprine and mercaptopurine toxicity and response. These studies have shown conflicting results in the strength of the relationship between metabolite levels, toxicity, and response. There are no well-designed prospective clinical studies demonstrating that azathioprine or mercaptopurine therapy based upon results of metabolite testing leads to improved clinical outcomes compared to therapy based upon clinical assessment and standard testing including routine blood counts and liver enzymes.

Read Also: How To Repair An Ulcer

Clear And Concise Documentation Aids Diagnosis Coding

Icd 10 Code For Rectal Bleeding

I first heard the term Crohns disease when I was 12 years old. The surgeon who had just finished operating on my older sister was talking to my grandparents. She didnt have acute appendicitis, after all, he said. A section of her small intestine had calcified from chronic inflammation.That was the first of many hospitalizations and surgeries my sister endured to regain her health. Probably the hardest part for her was finding out she had an incurable disease she would have to cope with the rest of her life, and she was only 16.

Recommended Reading: How To Cure Ulcer Naturally

What Is The Difference Between A Screening Test And A Diagnostic Colonoscopy

A screening test is a test provided to a patient in the absence of signs or symptoms based on the patients age, gender, medical history and family history according to medical guidelines. It is defined by the population on which the test is performed, not the results or findings of the test. A diagnostic test is done in response to a sign or symptom, to investigate and diagnosis a condition. A patient with rectal bleeding and anemia who is has a colonscopy is having a diagnostic colonoscopy.

As such, screening describes a colonoscopy that is routinely performed on an asymptomatic person for the purpose of testing for the presence of colorectal cancer or colorectal polyps. Whether a polyp or cancer is ultimately found does not change the screening intent of that procedure.

Read more about diagnosis coding for screening colonoscopy

As part of the Affordable Care Act , Medicare and third-party payers are required to cover services given an A or B rating by the U.S. Preventive Services Task Force without a co-pay or deductible. That is, the patient has no patient due amount. However, diagnostic colonoscopy is a test performed as a result of an abnormal finding, sign or symptom. Medicare does not waive the co-pay and deductible when the intent of the visit is to perform a diagnostic colonoscopy. Medicare waives the deductible but not the co-pay when a procedure scheduled as a screening is converted to a diagnostic or therapeutic procedure.

What Is The Cpt Code 42821

CPT® 42821, Under Excision and Destruction Procedures on the Pharynx, Adenoids, and Tonsils. The Current Procedural Terminology code 42821 as maintained by American Medical Association, is a medical procedural code under the range Excision and Destruction Procedures on the Pharynx, Adenoids, and Tonsils.

Read Also: Can Ulcers Give You Headaches

Specific Coding For Other Ulcerative Colitis

Non-specific codes like K51.8 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for other ulcerative colitis:

  • BILLABLE CODE Use K51.80 for Other ulcerative colitis without complications
  • NON-BILLABLE CODE K51.81 for Other ulcerative colitis with complications
  • BILLABLE CODE Use K51.811 for Other ulcerative colitis with rectal bleeding
  • BILLABLE CODE Use K51.812 for Other ulcerative colitis with intestinal obstruction
  • BILLABLE CODE Use K51.813 for Other ulcerative colitis with fistula
  • BILLABLE CODE Use K51.814 for Other ulcerative colitis with abscess
  • BILLABLE CODE Use K51.818 for Other ulcerative colitis with other complication
  • BILLABLE CODE Use K51.819 for Other ulcerative colitis with unspecified complications

Recommended Reading: Best Feed For Ulcer Prone Horses

Other Ulcerative Colitis With Rectal Bleeding

Common mistakes in the treatment of severe ulcerative colitis

ICD-10 code K51.811 for Other ulcerative colitis with rectal bleeding


ICD-10 International Statistical Classification of Diseases and Related Health Problems 10th Revision


ICD-10 is the 10th revision of the International Statistical Classification of Diseases and Related Health Problems , a medical classification list by the World Health Organization .

It contains codes for diseases, signs and symptoms, abnormal findings, complaints, social circumstances, and external causes of injury or diseases.


The Anatomical Therapeutic Chemical Classification System is used for the classification of active ingredients of drugs according to the organ or system on which they act and their therapeutic, pharmacological and chemical properties.

It is controlled by the World Health Organization Collaborating Centre for Drug Statistics Methodology .


The defined daily dose is a statistical measure of drug consumption, defined by the World Health Organization .

It is used to standardize the comparison of drug usage between different drugs or between different health care environments.

Also Check: Can Coffee Cause Ulcerative Colitis

Pearls & Alerts For Treatment & Management

Test for tuberculosis before use of biologic agents

Children should be tested for tuberculosis prior to receiving biologic agents , and they should be monitored for opportunistic infections.

Live virus vaccinations

Patients with IBD on immunosuppressive medications are considered to have secondary immunodeficiency due to treatments that can include human immune mediators like interleukins and colony-stimulating factors, immune modulators, and medicines like tumor necrosis factor-alpha inhibitors and anti-B cell agents. The CDC recommends that non-live and live vaccines be administered 2 or more weeks before initiating such therapies. Live vaccines should be withheld 3 months following such therapies, and both non-live and live vaccines should be withheld at least 6 months following therapy with anti-B cell agents. Risks and benefits should always be discussed with families of patients on immunosuppression therapy prior to administration of live vaccines, especially in the context of possible travel outside the United States.

Pneumonia vaccination

Children with IBD should be immunized with 2 doses of pneumococcal polysaccharide vaccine in addition to pneumococcal conjugate vaccine .

COVID-19 vaccination

The COVID vaccinations are safe and effective for patients with IBD, and patients should follow CDC guidelines on immunization booster schedule for immunosuppressed individuals, as their antibody response to vaccines may be altered by their medications.

Surgical emergencies

Factors Influencing Health Status And Contact With Health Servicesnote

  • Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as ‘diagnoses’ or ‘problems’. This can arise in two main ways:
  • When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination , or to discuss a problem which is in itself not a disease or injury.
  • When some circumstance or problem is present which influences the person’s health status but is not in itself a current illness or injury.
  • Don’t Miss: Safety Considerations For Ulcerative Colitis

    The Prognosis Is Good

    Some 40 years later, my sister leads a full life with Crohns. She isnt in perfect health, but shes learned to manage her disease and a house full of boys.


    Prajapati, D.N., Kim, J.P., Spinelli, K.S., Sudakoff, G., Stewart, E.T., Komorowski, R.A., Telford, G.L. and Binion, D.G. , Case report: Popcorn dystrophic ileal calcification in a patient with Crohns disease. Inflammatory Bowel Disease, 9: 2527. doi: 10.1097/

    Study Population And Setting

    Icd 10 Code For Ulcerative Colitis Flare

    In Denmark, all citizens have free access to a tax supported health care system throughout the study period. Its uniform organization allowed us to use a population-based setting using nationwide data. Since 1977, all patients are registered in the NPR when they are discharged from Danish hospitals, and the NPR also includes all outpatient visits since 1995. , The population of Denmark was approximately 5.2 million increasing to 5.6 million . The start of the period, 1 January 1995, was chosen since this was the time for inclusion of also outpatient visits in the NPR. The study population included new diagnosed patients with CD in the study period of 1995 through 2012, while the study population of UC patients included new diagnosed patients from 1995 through 2011. Thus, data from 2012 on UC patients were excluded because of a reclassifi-cation from the World Health Organization of the International Classification of Diseases 10 diagnostic codes for UC .

    You May Like: Over The Counter For Ulcers

    Also Check: How To Prevent Decubitus Ulcers

    A Comprehensive Review And Update On Ulcerative Coliti

    Research Hospitalization Volume, DRGs, Quality Outcomes, Top Hospitals & Physicians for K5190 Ulcerative colitis, unspecified, without complications ICD 10 Diagnosis Cod indicates history of curative surgery and there is no current disease, a history code would be correct. DECISION Ulcerative colitis should be coded as a current condition for follow-up colonoscopy cases unless there is documented history of curative surgery. [Effective 20 Jan 2010, ICD-10-AM/ACHI/ACS 6th Ed.

    Personal History Of Diseases Of The Digestive System

      2016201720182019202020212022Non-Billable/Non-Specific Code
  • Conditions classifiable to K00-K93
    • Crohn’s disease in remission
    • History of benign neoplasm of small intestine
    • History of bowel obstruction
    • History of digestive system disease
    • History of diverticulitis
    • History of diverticulitis
    • History of esophageal varices
    • History of gastritis
    • History of gastroesophageal reflex disease
    • History of gastroesophageal reflex disease on no current medications
    • History of gastroesophageal reflux disease
    • History of gastroesophageal reflux disease
    • History of gastrointestinal bleed
    • History of inflammation of esophagus
    • History of irritable bowel syndrome
    • History of irritable bowel syndrome
    • History of ischemic colitis
    • History of ischemic colitis
    • History of lower gastrointestinal bleed
    • History of pancreatitis
    • History of pancreatitis
    • History of proctitis
    • History of upper gastrointestinal bleeding
    • History of villous adenoma of duodenum
    • Hx of colitis
    • Personal history of benign neoplasm, small intestine
    • Personal history of villous adenoma, duodenum
    • Ulcerative colitis in remission
    • Z87.19 is considered exempt from POA reporting.
    • 951 Other factors influencing health status
    • : New code

    Don’t Miss: Ulcerative Colitis Back Pain Treatment

    History Of Ulcerative Colitis Icd 10

    Z87.19 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2021 edition of ICD-10-CM Z87.19 became effective on October 1, 2020. This is the American ICD-10-CM version of Z87.19 other international versions of ICD-10 Z87.19 may differ Search Results. 500 results found. Showing 1-25: ICD-10-CM Diagnosis Code Z87.19 Personal history of other diseases of the digestive system. History of ischemic colitis History of ischemic colitis congenital malformations of nervous system and sense organs Prsnl hx of congen malform of nervous sys and sense organs History of corrected congenital malformation of nervous syste

    What Is Diverticulosis Of The Large Intestine

    Ulcerative Colitis: Recent and Emerging Therapies

    Diverticulosis is when pockets called diverticula form in the walls of your digestive tract. The inner layer of your intestine pushes through weak spots in the outer lining. This pressure makes them bulge out, making little pouches. Most often it happens in your colon, the lower part of your large intestine.

    You May Like: How You Know If You Have A Stomach Ulcer

    Who Is Lauri Gray

    Lauri Gray, RHIT, CPC, has worked in the health information management field for 30 years. She began her career as a health records supervisor in a multi-specialty clinic. Following that she worked in the managed care industry as a contracting and coding specialist for a major HMO. Most recently she has worked as a clinical technical editor of coding and reimbursement print and electronic products. She has also taught medical coding at the College of Eastern Utah. Areas of expertise include: ICD-10-CM, ICD-10-PCS, ICD-9-CM diagnosis and procedure coding, physician coding and reimbursement, claims adjudication processes, third-party reimbursement, RBRVS and fee schedule development. She is a member of the American Academy of Professional Coders and the American Health Information Management Association .

    Causes Of Gi Bleeding:

    • Peptic ulcers*
    • Colon or rectal polyps
    • Intestinal tumor/malignancy
    • Ulcerative esophagitis or esophageal ulcerations*
    • Gastritis*
    • Duodentitis*

    The * beside the diagnoses/causes above indicate that the causal relationship is made when the conditions are found, and the patient also has a diagnosis of GI bleeding.

    The publication of this Q& A in the 3Q 2018 AHA Coding Clinic should help coders in determining when to code with conditions.

    Recommended Reading: What Foods Help Stomach Ulcers

    Gastroenterology Billing And Coding: Just The Basics

    3. Diagnostic studies: Medical necessity/indication for the testing must be documented in order to submit charges for diagnostic studies. The terms rule out and suspect dont completely give coders the reason why a physician suspects the patient might have a condition. Usually, abnormal lab tests, signs, and symptoms will often warrant the need for further investigation, and these are the most crucial indications for testing. Not only is this important for diagnostic studies but also for procedures. Make sure that the interpretation of the test results is clear along with a plan/recommendation.

    • K50.10 Crohns disease of large intestine without 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.

    Is Pmh A Colitis

    Pin on Medical Coding Buff

    PMH is significant for ulcerative colitis diagnosed in college and treated with sulfazine for a few years. On review of her medical history, her last flare was almost 10 years ago and was resolved with cortisone enemas. She was advised to schedule a colonoscopy at that time but did not return until today.

    Also Check: Best Wound Care For Stage 2 Pressure Ulcer

    Personal History Of Other Specified Conditions

      2016201720182019202020212022Billable/Specific CodePOA Exempt

    Z87.19 Personal history of other diseases of the digestive system

    Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

    Ulcerative Colitis Unspecified With Unspecified Complications

      2016201720182019202020212022Billable/Specific Code
  • rectal bleeding K51.911
  • K51.911 Ulcerative colitis, unspecified with rectal bleeding

    Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

    Read Also: What Foods To Eat If You Have An Ulcer

    Bring Awareness To Crohns And Colitis In December

    ICD-10-CM Quick Reference Code Guide . NUTRITIONAL/ENDOCRINE ICD-10 CIRCULATORY SYSTEM ICD-10 History of Tobacco Use : Z87.891 : Cerebrovascular Disease, Other I67.89 Colitis, Ulcerative NOS Irritable bowel syndrome NO ordered without a supportive ICD-10 code will not satisfy medical necessity and therefore will not be covered ⢠Older adults with history of falls ⢠Older adults with history of nontraumatic fractures ⢠Obese children and adults (BMI K51.919 Ulcerative colitis, unspecified, with unspecified complication

    Aphthous ulcersPyoderma gangrenosum

    UC is characterized by immune dysregulation and systemic inflammation, which may result in symptoms and complications outside the colon. Commonly affected organs include: eyes, joints, skin, and liver. The frequency of such extraintestinal manifestations has been reported as between 6 and 47%.

    UC may affect the mouth. About 8% of individuals with UC develop oral manifestations. The two most common oral manifestations are aphthous stomatitis and angular cheilitis. Aphthous stomatitis is characterized by ulcers in the mouth, which are benign, noncontagious and often recurrent. Angular chelitis is characterized by redness at the corners of the mouth, which may include painful sores or breaks in the skin. Very rarely, benign pustules may occur in the mouth .

    More articles

    Popular Articles