Ulcerative (chronic) proctitis without complications
ICD-10 K51.20 is a billable code used to indicate a diagnosis of ulcerative (chronic) proctitis without complications.
K51.20 refers to ulcerative proctitis, a form of inflammatory bowel disease (IBD) characterized by chronic inflammation and ulceration of the rectal mucosa. Clinically, patients may present with symptoms such as rectal bleeding, diarrhea, abdominal pain, and tenesmus. The anatomy involved primarily includes the rectum, which is the terminal part of the large intestine. Disease progression can vary; some patients may experience intermittent flares of symptoms, while others may have a more chronic course. Diagnostic considerations include a thorough patient history, physical examination, and confirmatory tests such as colonoscopy with biopsy to assess the extent of inflammation and rule out other conditions. The absence of complications, such as strictures or perforations, is a key factor in classifying the condition under K51.20. Regular monitoring and follow-up are essential to manage symptoms and prevent potential complications.
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
K51.20 specifically covers ulcerative proctitis without complications. This includes chronic inflammation and ulceration localized to the rectum, without any associated complications such as abscesses or strictures.
K51.20 should be used when the patient has a confirmed diagnosis of ulcerative proctitis without complications. It is important to differentiate it from K51.21 (with complications) and other forms of IBD, such as Crohn's disease.
Documentation should include a detailed patient history, physical examination findings, results from colonoscopy and biopsy, and treatment plans. Evidence of chronicity and absence of complications must be clearly noted.
