Ulcerative (chronic) proctitis with complications
ICD-10 K51.21 is a used to indicate a diagnosis of ulcerative (chronic) proctitis with complications.
K51.21 refers to ulcerative (chronic) proctitis with complications, a form of inflammatory bowel disease primarily affecting the rectum. Clinically, patients may present with symptoms such as rectal bleeding, diarrhea, abdominal pain, and urgency to defecate. The anatomy involved includes the rectum and potentially surrounding structures, as inflammation can lead to complications such as strictures, abscesses, or fistulas. Disease progression may vary, with some patients experiencing intermittent flare-ups 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 presence of complications necessitates careful monitoring and management, as they can significantly impact the patient's quality of life and treatment options.
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
K51.21 covers chronic ulcerative proctitis with complications such as rectal bleeding, strictures, or abscess formation. It is important to document the presence of these complications to justify the use of this specific code.
K51.21 should be used when the patient has chronic ulcerative proctitis accompanied by complications. If the condition is uncomplicated, codes like K51.20 (Ulcerative proctitis, unspecified) may be more appropriate.
Documentation should include a detailed history of symptoms, results from diagnostic tests such as colonoscopy, and notes on any complications observed. Clear evidence of the chronic nature of the condition and its complications is crucial.
