Ulcerative (chronic) rectosigmoiditis with intestinal obstruction
ICD-10 K51.312 is a billable code used to indicate a diagnosis of ulcerative (chronic) rectosigmoiditis with intestinal obstruction.
K51.312 refers to ulcerative (chronic) rectosigmoiditis with intestinal obstruction, a condition characterized by inflammation and ulceration of the rectum and sigmoid colon. Clinically, patients may present with symptoms such as abdominal pain, rectal bleeding, diarrhea, and tenesmus. The anatomy involved includes the rectum and sigmoid colon, which are critical components of the lower gastrointestinal tract. Disease progression can lead to severe complications, including strictures and obstruction, which may require surgical intervention. Diagnostic considerations include colonoscopy, imaging studies, and histopathological examination to confirm the diagnosis and assess the extent of the disease. The presence of intestinal obstruction necessitates prompt evaluation and management to prevent further complications such as perforation or sepsis.
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
K51.312 covers chronic ulcerative rectosigmoiditis with intestinal obstruction, which includes symptoms of severe inflammation, ulceration, and complications such as strictures leading to obstruction. It is important to differentiate this from other forms of ulcerative colitis and inflammatory bowel diseases.
K51.312 should be used when there is a confirmed diagnosis of chronic ulcerative rectosigmoiditis accompanied by intestinal obstruction. If the obstruction is absent, K51.311 should be utilized instead. Accurate documentation of symptoms and diagnostic findings is essential for appropriate code selection.
Documentation for K51.312 should include clinical notes detailing the patient's symptoms, diagnostic imaging results, colonoscopy findings, and any treatment plans. Pathology reports confirming ulcerative changes and evidence of obstruction are also critical for substantiating the diagnosis.
