Toxic megacolon
ICD-10 K59.31 is a billable code used to indicate a diagnosis of toxic megacolon.
Toxic megacolon is a severe complication of inflammatory bowel diseases, particularly ulcerative colitis and Crohn's disease, characterized by extreme dilation of the colon. Clinically, patients may present with abdominal distension, severe abdominal pain, fever, and signs of systemic toxicity such as tachycardia and hypotension. The anatomy involved primarily includes the colon, which can become significantly enlarged, leading to potential perforation and sepsis if not managed promptly. Disease progression can be rapid, often occurring in the context of an acute exacerbation of underlying gastrointestinal conditions. Diagnostic considerations include imaging studies such as abdominal X-rays or CT scans to assess colonic dilation, along with laboratory tests to evaluate electrolyte imbalances and signs of infection. Early recognition and intervention are crucial to prevent life-threatening complications, often necessitating hospitalization and possibly surgical intervention.
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
K59.31 specifically covers toxic megacolon, which can arise from conditions such as ulcerative colitis, Crohn's disease, and infections like Clostridium difficile. It is characterized by colonic dilation and systemic toxicity.
K59.31 should be used when there is evidence of toxic megacolon, indicated by significant colonic dilation and associated systemic symptoms, differentiating it from less severe gastrointestinal conditions.
Documentation should include clinical findings of abdominal distension, imaging results showing colonic dilation, laboratory tests indicating electrolyte imbalances, and a clear description of the patient's clinical status.
