Pouchitis
ICD-10 K91.850 is a billable code used to indicate a diagnosis of pouchitis.
Pouchitis is an inflammatory condition affecting the ileal pouch, which is a surgically created reservoir for stool following proctocolectomy, often performed in patients with ulcerative colitis or familial adenomatous polyposis. Clinically, patients may present with symptoms such as abdominal pain, diarrhea, rectal bleeding, and urgency. The anatomy involved includes the ileum, which is reconfigured into a pouch, and the anal canal, where the pouch is connected. Disease progression can vary, with some patients experiencing intermittent episodes of pouchitis, while others may develop chronic pouchitis, leading to significant morbidity. Diagnostic considerations include clinical evaluation, stool studies to rule out infections, and endoscopic examination to assess inflammation and rule out other complications such as pouch fistulas or strictures. Management typically involves antibiotics, anti-inflammatory medications, and in some cases, surgical intervention may be necessary for refractory cases.
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
K91.850 specifically covers pouchitis, which is inflammation of the ileal pouch. It does not cover other gastrointestinal conditions or complications unless specified.
K91.850 should be used when a patient presents with acute pouchitis symptoms without chronicity or other complications. If the condition is chronic or recurrent, K91.851 may be more appropriate.
Documentation should include a detailed history of symptoms, results from stool tests, endoscopic findings, and any treatments attempted. Clear notes on the patient's surgical history and current medications are also essential.
