Perforation of intestine (nontraumatic)
ICD-10 K63.1 is a billable code used to indicate a diagnosis of perforation of intestine (nontraumatic).
Perforation of the intestine (nontraumatic) refers to a breach in the wall of the intestinal tract, which can occur in various segments, including the small intestine and colon. This condition is often a result of underlying gastrointestinal diseases such as diverticulitis, inflammatory bowel disease (IBD), or malignancies. Clinically, patients may present with acute abdominal pain, signs of peritonitis, fever, and changes in bowel habits. The anatomy involved typically includes the serosa, muscularis, submucosa, and mucosa of the intestine. Disease progression can lead to severe complications such as peritonitis, sepsis, and shock if not promptly diagnosed and treated. Diagnostic considerations include imaging studies like CT scans, which can reveal free air or fluid in the abdominal cavity, and laboratory tests that may indicate infection or inflammation. Early recognition and intervention are critical to prevent morbidity and mortality associated with this condition.
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
K63.1 covers nontraumatic perforations of the intestine, which may arise from conditions such as diverticulitis, Crohn's disease, ulcerative colitis, and malignancies. It does not include perforations resulting from trauma or surgical procedures.
K63.1 should be used when there is clear evidence of a nontraumatic perforation of the intestine, particularly when accompanied by clinical signs of peritonitis or sepsis. It is important to differentiate it from other codes that describe intestinal obstruction or abscesses.
Documentation should include clinical findings, imaging results confirming perforation, laboratory tests indicating infection, and details of the patient's history and presenting symptoms. Surgical reports may also be necessary if an intervention was performed.
