Ulcerative (chronic) proctitis with abscess
ICD-10 K51.214 is a billable code used to indicate a diagnosis of ulcerative (chronic) proctitis with abscess.
K51.214 refers to ulcerative proctitis with abscess, a subtype of ulcerative colitis that specifically affects the rectum. Clinically, patients may present with symptoms such as rectal bleeding, diarrhea, abdominal pain, and tenesmus. The condition is characterized by inflammation and ulceration of the rectal mucosa, which can lead to the formation of abscesses due to localized infection. The anatomy involved includes the rectum and surrounding tissues, which can become inflamed and necrotic. Disease progression can vary; some patients may experience acute exacerbations while others may have chronic symptoms. Diagnostic considerations include colonoscopy, which allows for direct visualization of the rectal mucosa and biopsy to confirm the diagnosis. Imaging studies may also be utilized to assess for abscess formation. Early diagnosis and management are crucial to prevent complications such as perforation or systemic infection.
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
K51.214 specifically covers ulcerative proctitis with abscess, which is characterized by inflammation and ulceration of the rectal mucosa accompanied by the formation of abscesses. It is important to differentiate this from other forms of ulcerative colitis that do not involve abscess formation.
K51.214 should be used when there is clear evidence of abscess formation in the context of ulcerative proctitis. If abscesses are not present, K51.213 should be selected instead. Accurate documentation of clinical findings is essential for appropriate code selection.
Documentation for K51.214 should include clinical notes detailing symptoms, results from colonoscopy or imaging studies showing abscesses, and any treatment plans. A biopsy report confirming ulcerative proctitis is also beneficial.
