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ICD-10 Guide
ICD-10 CodesK56.601

K56.601

Billable

Complete intestinal obstruction, unspecified as to cause

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

Code Description

ICD-10 K56.601 is a billable code used to indicate a diagnosis of complete intestinal obstruction, unspecified as to cause.

Key Diagnostic Point:

Complete intestinal obstruction, unspecified as to cause, refers to a condition where there is a total blockage of the intestinal lumen, preventing the passage of contents through the digestive tract. This can occur in various segments of the intestines, including the small intestine and large intestine. Clinically, patients may present with symptoms such as severe abdominal pain, distension, vomiting, constipation, and inability to pass gas. The anatomy involved primarily includes the small intestine, large intestine, and associated mesenteric structures. Disease progression can lead to complications such as bowel ischemia, perforation, and sepsis if not addressed promptly. Diagnostic considerations include imaging studies like X-rays, CT scans, and ultrasounds to identify the location and cause of the obstruction. Laboratory tests may also be performed to assess electrolyte imbalances and signs of infection. The unspecified nature of this code indicates that the specific etiology of the obstruction is not documented, which may include adhesions, hernias, tumors, or inflammatory bowel disease.

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 of the type of obstruction.
  • Documentation gaps may arise if the cause of the obstruction is not specified.
  • Billing challenges can occur if the treatment provided does not align with the diagnosis.

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

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical significance of K56.601 lies in its potential to lead to severe complications if not treated promptly. Intestinal obstruction can significantly impact population health, leading to increased healthcare utilization, including emergency visits and surgical interventions. Quality measures may focus on timely diagnosis and treatment to prevent complications, and epidemiological considerations highlight the need for awareness of risk factors such as previous abdominal surgeries and certain gastrointestinal diseases.

ICD-9 vs ICD-10

The clinical significance of K56.601 lies in its potential to lead to severe complications if not treated promptly. Intestinal obstruction can significantly impact population health, leading to increased healthcare utilization, including emergency visits and surgical interventions. Quality measures may focus on timely diagnosis and treatment to prevent complications, and epidemiological considerations highlight the need for awareness of risk factors such as previous abdominal surgeries and certain gastrointestinal diseases.

Reimbursement & Billing Impact

Reimbursement considerations include the complexity of the case and the treatments provided, which may involve surgical interventions. Common denials may arise if the documentation does not clearly support the diagnosis or if the treatment does not align with the code used. It is crucial to ensure that all relevant information is included in the medical record to avoid billing issues.

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 K56.601?

K56.601 covers complete intestinal obstruction due to various causes, including but not limited to adhesions, hernias, tumors, and inflammatory bowel disease. It is important to note that the specific cause must be documented to differentiate from other obstruction codes.

When should K56.601 be used instead of related codes?

K56.601 should be used when there is a complete intestinal obstruction and the cause is not specified. If the cause is known, more specific codes should be utilized to reflect the underlying condition accurately.

What documentation supports K56.601?

Documentation should include clinical findings, imaging results, and any surgical notes if applicable. It is essential to document the patient's symptoms, the results of diagnostic tests, and any treatments provided to support the use of this code.