Volvulus
ICD-10 K56.2 is a billable code used to indicate a diagnosis of volvulus.
Volvulus is a condition characterized by the twisting of a loop of intestine, which can lead to obstruction and compromised blood supply to the affected segment. The clinical presentation often includes severe abdominal pain, distension, nausea, vomiting, and constipation or obstipation. The anatomy involved typically includes the sigmoid colon or cecum, although any part of the gastrointestinal tract can be affected. Disease progression can lead to ischemia, perforation, and peritonitis if not promptly diagnosed and treated. Diagnostic considerations include imaging studies such as abdominal X-rays, CT scans, or MRI, which can reveal the characteristic signs of volvulus, including the 'coffee bean' sign or air-fluid levels. Early intervention is crucial, and treatment may involve endoscopic decompression or surgical intervention to untwist the affected bowel and re-establish blood flow, depending on the severity and duration of the volvulus.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
K56.2 specifically covers volvulus of the intestine, which may include sigmoid volvulus, cecal volvulus, and other forms of intestinal twisting that lead to obstruction. It does not cover obstructions due to adhesions or hernias.
K56.2 should be used when the clinical presentation and diagnostic imaging confirm volvulus as the cause of intestinal obstruction. It should not be used when the obstruction is due to other causes such as adhesions (K56.0) or hernias (K40-K46).
Documentation should include a thorough clinical history, physical examination findings, imaging results showing the volvulus, and any interventions performed. Clear notes on the patient's symptoms and the rationale for the diagnosis are essential.
