Ulcerative (chronic) proctitis with other complication
ICD-10 K51.218 is a billable code used to indicate a diagnosis of ulcerative (chronic) proctitis with other complication.
K51.218 refers to ulcerative proctitis, a form of inflammatory bowel disease (IBD) characterized by inflammation and ulceration of the rectal mucosa. Clinically, patients may present with symptoms such as rectal bleeding, diarrhea, abdominal pain, and urgency to defecate. The anatomy involved primarily includes the rectum, which can be affected to varying degrees, leading to complications such as strictures, perforation, or fistula formation. Disease progression can vary, with some patients experiencing intermittent flare-ups and others facing chronic symptoms. Diagnostic considerations include a thorough patient history, physical examination, and confirmatory tests such as colonoscopy with biopsy, which can help differentiate ulcerative proctitis from other gastrointestinal conditions like Crohn's disease or infectious colitis. The presence of other complications, such as abscesses or extraintestinal manifestations, may further complicate the clinical picture and necessitate a multidisciplinary approach to management.
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
K51.218 covers ulcerative proctitis with other complications, which may include abscess formation, strictures, or extraintestinal manifestations such as arthritis or skin lesions. It is important to document these complications to justify the use of this code.
K51.218 should be used when the patient has a confirmed diagnosis of ulcerative proctitis accompanied by other complications. If the patient has ulcerative proctitis without complications, K51.219 should be used instead.
Documentation should include a detailed clinical history, results from diagnostic tests such as colonoscopy, and descriptions of any complications encountered. Treatment plans and responses to therapy should also be documented to support the complexity of the condition.
