Ulcerative (chronic) pancolitis with abscess
ICD-10 K51.014 is a billable code used to indicate a diagnosis of ulcerative (chronic) pancolitis with abscess.
Ulcerative pancolitis is a chronic inflammatory bowel disease characterized by inflammation and ulceration of the colonic mucosa. In the case of K51.014, the condition is specifically noted to involve the entire colon (pancolitis) and is associated with the presence of abscesses. Clinically, patients may present with symptoms such as abdominal pain, diarrhea (often bloody), urgency, and weight loss. The anatomy involved includes the entire colon, which may show varying degrees of inflammation and ulceration upon endoscopic examination. Disease progression can lead to complications such as toxic megacolon, perforation, and increased risk of colorectal cancer. Diagnostic considerations include colonoscopy with biopsy to confirm the diagnosis and rule out other conditions, such as Crohn's disease or infectious colitis. Imaging studies may also be utilized to assess for abscess formation or other complications. Management typically involves medical therapy, including anti-inflammatory medications, immunosuppressants, and in some cases, surgical intervention may be necessary.
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
K51.014 specifically covers ulcerative pancolitis with abscess formation. It is characterized by chronic inflammation of the entire colon, leading to ulceration and the development of abscesses, which can complicate the disease course.
K51.014 should be used when the patient has confirmed ulcerative pancolitis with the presence of abscesses. It is important to differentiate this from other forms of ulcerative colitis that do not involve abscess formation, as this impacts treatment and management.
Documentation should include clinical findings from colonoscopy, biopsy results confirming ulcerative pancolitis, imaging studies showing abscesses, and detailed notes on the patient's symptoms and treatment response.
