ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesK51.2

K51.2

Non-billable

Ulcerative (chronic) proctitis

BILLABLE STATUSNo
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/06/2025

Code Description

ICD-10 K51.2 is a used to indicate a diagnosis of ulcerative (chronic) proctitis.

Key Diagnostic Point:

Ulcerative proctitis is a form of inflammatory bowel disease (IBD) characterized by inflammation and ulceration of the rectal mucosa. Clinically, patients may present with symptoms such as rectal bleeding, diarrhea, abdominal pain, and tenesmus (a feeling of incomplete bowel evacuation). The condition primarily affects the rectum, which is the terminal part of the large intestine, and can lead to complications such as strictures or an increased risk of colorectal cancer if left untreated. Disease progression can vary; some patients may experience intermittent flares, while others may have chronic symptoms. Diagnostic considerations include a thorough patient history, physical examination, and confirmatory tests such as colonoscopy with biopsy, which can help differentiate ulcerative proctitis from other forms of colitis. Laboratory tests may also be utilized to assess inflammatory markers and rule out infections. Early diagnosis and management are crucial to mitigate symptoms and prevent complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires differentiation from other gastrointestinal disorders.
  • Treatment complexity: Management may involve medication, dietary changes, and monitoring.
  • Documentation requirements: Detailed clinical documentation is necessary for accurate coding.
  • Coding specificity: Requires precise coding to reflect the extent and severity of the disease.

Audit Risk Factors

  • Common coding errors: Misclassification with other types of colitis.
  • Documentation gaps: Incomplete records regarding symptom severity and treatment response.
  • Billing challenges: Potential denials if documentation does not support the diagnosis.

Specialty Focus

Medical Specialties

Gastroenterology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Primary Care

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related ICD-10 Codes

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Ulcerative proctitis significantly impacts patient quality of life, with symptoms affecting daily activities and mental health. The condition is prevalent in both adult and pediatric populations, contributing to healthcare utilization through frequent medical visits and potential hospitalizations during flare-ups. Understanding the epidemiology of ulcerative proctitis aids in developing targeted interventions and quality measures to improve patient outcomes and reduce healthcare costs.

ICD-9 vs ICD-10

Ulcerative proctitis significantly impacts patient quality of life, with symptoms affecting daily activities and mental health. The condition is prevalent in both adult and pediatric populations, contributing to healthcare utilization through frequent medical visits and potential hospitalizations during flare-ups. Understanding the epidemiology of ulcerative proctitis aids in developing targeted interventions and quality measures to improve patient outcomes and reduce healthcare costs.

Reimbursement & Billing Impact

Reimbursement considerations include the complexity of the condition and the necessity for ongoing management. Common denials may arise from insufficient documentation or misclassification of the condition. It is essential to ensure that all relevant clinical information is included in the medical record to support the coding and billing process. Best practices include regular audits of documentation and coding accuracy to minimize errors and ensure compliance with payer requirements.

Resources

Clinical References

  • •
    ICD-10 Official Guidelines for K00-K99
  • •
    Clinical Documentation Requirements

Coding & Billing References

  • •
    ICD-10 Official Guidelines for K00-K99
  • •
    Clinical Documentation Requirements

Frequently Asked Questions

What specific conditions are covered by K51.2?

K51.2 specifically covers ulcerative proctitis, which is limited to the rectum and characterized by inflammation and ulceration. It does not include other forms of ulcerative colitis that may affect different parts of the colon.

When should K51.2 be used instead of related codes?

K51.2 should be used when the diagnosis is specifically ulcerative proctitis, as opposed to other forms of ulcerative colitis. Accurate differentiation is essential for appropriate treatment and management.

What documentation supports K51.2?

Documentation should include a detailed patient history, symptom description, results from diagnostic tests such as colonoscopy, and treatment plans. Evidence of ongoing management and response to treatment is also critical.