Diverticulitis of large intestine with perforation and abscess without bleeding
ICD-10 K57.20 is a billable code used to indicate a diagnosis of diverticulitis of large intestine with perforation and abscess without bleeding.
K57.20 refers to diverticulitis of the large intestine with perforation and abscess, without bleeding. This condition arises when diverticula, which are small pouches that can form in the wall of the colon, become inflamed or infected. The inflammation can lead to perforation of the intestinal wall, resulting in the formation of an abscess. Clinically, patients may present with symptoms such as severe abdominal pain, fever, and changes in bowel habits. The anatomy involved primarily includes the sigmoid colon, although diverticula can occur in other segments of the large intestine. Disease progression can vary; if left untreated, perforation can lead to peritonitis, sepsis, and potentially life-threatening complications. Diagnostic considerations include imaging studies such as CT scans, which can reveal the presence of diverticula, abscesses, and perforation. Laboratory tests may show leukocytosis indicative of infection. Timely diagnosis and intervention are crucial to prevent severe 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
K57.20 specifically covers diverticulitis of the large intestine that has progressed to include perforation and abscess formation, without any associated bleeding. It is important to differentiate this from other forms of diverticulitis that do not involve these complications.
K57.20 should be used when there is clear documentation of diverticulitis with perforation and abscess, and no evidence of bleeding. It is essential to ensure that the clinical documentation supports the severity of the condition.
Documentation for K57.20 should include clinical notes detailing the diagnosis of diverticulitis, imaging results showing perforation and abscess, and any surgical or medical interventions undertaken. Laboratory results indicating infection may also be relevant.
