Diverticulitis of both small and large intestine with perforation and abscess without bleeding
ICD-10 K57.40 is a billable code used to indicate a diagnosis of diverticulitis of both small and large intestine with perforation and abscess without bleeding.
K57.40 refers to diverticulitis affecting both the small and large intestines, characterized by the presence of perforation and abscess formation without any associated bleeding. Clinically, patients may present with symptoms such as abdominal pain, fever, and changes in bowel habits. The anatomy involved includes the small intestine, particularly the ileum, and the large intestine, primarily the colon, where diverticula can form due to increased intraluminal pressure. The disease progression typically involves inflammation of the diverticula, leading to complications like perforation, which can result in localized or generalized peritonitis if not managed promptly. Diagnostic considerations include imaging studies such as CT scans, which can reveal the presence of abscesses and perforations, and laboratory tests that may indicate infection or inflammation. Early diagnosis and intervention are crucial to prevent severe complications and improve patient outcomes.
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
K57.40 covers diverticulitis of both the small and large intestines with perforation and abscess formation, specifically without any bleeding. It is critical to differentiate this from diverticulitis without complications or with bleeding.
K57.40 should be used when there is clear evidence of perforation and abscess formation in the context of diverticulitis. If there are no complications, codes like K57.30 or K57.20 may be more appropriate.
Documentation should include clinical findings, imaging results showing perforation and abscess, surgical notes if applicable, and any laboratory results indicating infection. Comprehensive notes on the patient's history and symptoms are also essential.
