Paralytic ileus
ICD-10 K56.0 is a billable code used to indicate a diagnosis of paralytic ileus.
Paralytic ileus is a condition characterized by the absence of peristalsis in the intestines, leading to a functional obstruction of the bowel. Clinically, patients may present with symptoms such as abdominal distension, pain, nausea, vomiting, and constipation. The condition can arise from various factors, including postoperative states, electrolyte imbalances, medications (especially opioids), and underlying diseases such as inflammatory bowel disease or infections. Anatomically, the small and large intestines are involved, where the lack of motility prevents the normal passage of intestinal contents. Disease progression can lead to complications such as bowel ischemia, perforation, or sepsis if not addressed promptly. Diagnostic considerations include imaging studies like abdominal X-rays or CT scans to confirm the diagnosis and rule out mechanical obstruction. Laboratory tests may also be performed to assess electrolyte levels and overall metabolic status.
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
K56.0 covers paralytic ileus due to various causes, including postoperative ileus, medication-induced ileus, and ileus secondary to systemic diseases. It does not include mechanical obstructions, which are coded separately.
K56.0 should be used when the ileus is confirmed to be non-mechanical, particularly when there is evidence of bowel motility failure without obstruction. It is essential to differentiate it from K56.1 (Mechanical ileus) based on clinical findings.
Documentation should include a detailed clinical history, physical examination findings, results from imaging studies, and any laboratory tests that indicate electrolyte imbalances or other contributing factors.
