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v1.0.0
ICD-10 Guide
DiagnosesSmall Bowel Resection

Small Bowel Resection

ICD-10 Coding for Small Bowel Resection(0DT80ZZ)

PRIMARY SPECIALTYGeneral Surgery
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Small Bowel Resection?
Essential facts and insights about Small Bowel Resection

Key Clinical Considerations:

  • Abdominal pain, diarrhea, malnutrition, weight loss
  • CT scan, MRI, endoscopy, small bowel imaging
  • Tenderness in the abdomen, signs of obstruction, weight loss

Clinical Information

Clinical Criteria & Documentation Requirements

  • Operative report, preoperative assessment, postoperative notes
  • ICD-10-PCS terminology for surgical procedures
  • Example: 'Patient underwent laparoscopic small bowel resection due to obstruction.'

Coding Guidelines

Usage Guidelines & Examples

  • Follow guidelines for coding complications; avoid using outdated codes.
  • Common errors include incorrect staging of disease and missing modifiers.

Code Exclusions

Important Exclusions

  • Ileostomy, colostomy procedures
  • Codes for other gastrointestinal surgeries

Related ICD-10 Codes

Primary Codes
K63.89
Other specified diseases of the intestine
Z90.49
Acquired absence of other parts of digestive system
Ancillary Codes
44121
Differential Codes
0DB80ZZ

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

General Surgery

Specialty Applications

  • Adults with bowel obstruction, Crohn's disease, tumors
  • Inpatient and outpatient surgical settings

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

Documentation requirements?

Include detailed operative notes, indication for surgery, and pathology results.

Billing considerations?

Ensure correct coding of diagnosis and procedure; check for bundled services.