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ICD-10 Guide
ICD-10 CodesK63.4

K63.4

Billable

Enteroptosis

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/06/2025

Code Description

ICD-10 K63.4 is a billable code used to indicate a diagnosis of enteroptosis.

Key Diagnostic Point:

Enteroptosis, also known as intestinal ptosis, refers to the abnormal downward displacement of the intestines, particularly the small intestine. This condition can occur due to various factors, including congenital abnormalities, significant weight loss, or conditions that lead to weakened abdominal muscles. Clinically, patients may present with symptoms such as abdominal discomfort, bloating, constipation, or changes in bowel habits. The anatomy involved primarily includes the small intestine, but enteroptosis can also affect the large intestine depending on the severity and underlying causes. Disease progression may lead to complications such as bowel obstruction or ischemia if the blood supply is compromised. Diagnostic considerations for enteroptosis include imaging studies such as abdominal X-rays, CT scans, or MRI to assess the position of the intestines and rule out other gastrointestinal disorders. A thorough patient history and physical examination are essential for accurate diagnosis and management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity
  • Treatment complexity
  • Documentation requirements
  • Coding specificity

Audit Risk Factors

  • Common coding errors include misclassification with other intestinal disorders.
  • Documentation gaps may arise if the clinical rationale for diagnosis is not clearly outlined.
  • Billing challenges can occur if the condition is not adequately supported by clinical evidence.

Specialty Focus

Medical Specialties

Gastroenterology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

General Surgery

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related ICD-10 Codes

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Enteroptosis can significantly impact patient quality of life, leading to chronic gastrointestinal symptoms and potential complications. Understanding its prevalence and management is crucial for improving population health outcomes. Effective coding and documentation can enhance healthcare utilization patterns and ensure appropriate resource allocation for affected individuals.

ICD-9 vs ICD-10

Enteroptosis can significantly impact patient quality of life, leading to chronic gastrointestinal symptoms and potential complications. Understanding its prevalence and management is crucial for improving population health outcomes. Effective coding and documentation can enhance healthcare utilization patterns and ensure appropriate resource allocation for affected individuals.

Reimbursement & Billing Impact

Reimbursement considerations include the necessity of imaging studies and potential surgical interventions. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity. Coders should ensure that all clinical notes support the diagnosis and that any procedures performed are accurately coded to reflect the complexity of the case.

Resources

Clinical References

  • •
    ICD-10 Official Guidelines for K00-K99
  • •
    Clinical Documentation Requirements

Coding & Billing References

  • •
    ICD-10 Official Guidelines for K00-K99
  • •
    Clinical Documentation Requirements

Frequently Asked Questions

What specific conditions are covered by K63.4?

K63.4 specifically covers enteroptosis, which may be associated with conditions like abdominal wall laxity or post-surgical changes. It does not include other forms of intestinal displacement or obstruction unless specifically indicated.

When should K63.4 be used instead of related codes?

K63.4 should be used when the primary diagnosis is enteroptosis, particularly when the patient exhibits symptoms directly related to this condition. It is differentiated from codes for intestinal obstruction or other gastrointestinal disorders based on clinical presentation and diagnostic findings.

What documentation supports K63.4?

Documentation for K63.4 should include a detailed patient history, physical examination findings, imaging results confirming the diagnosis of enteroptosis, and any relevant treatment plans or surgical interventions.