Ogilvie syndrome
ICD-10 K59.81 is a billable code used to indicate a diagnosis of ogilvie syndrome.
Ogilvie syndrome, also known as acute colonic pseudo-obstruction, is a condition characterized by a significant dilation of the colon without any mechanical obstruction. Clinically, patients may present with abdominal distension, pain, nausea, and vomiting. The syndrome primarily affects the large intestine, particularly the cecum and proximal colon, leading to a functional obstruction. The etiology is often multifactorial, including factors such as electrolyte imbalances, medications (especially opioids), and underlying medical conditions like diabetes or neurological disorders. Disease progression can vary, with some patients experiencing spontaneous resolution, while others may require medical or surgical intervention. Diagnostic considerations include imaging studies such as abdominal X-rays or CT scans to rule out mechanical obstruction and assess colonic dilation. Laboratory tests may also be performed to identify electrolyte imbalances or other contributing factors. Early recognition and management are crucial to prevent complications such as colonic perforation or ischemia.
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
K59.81 specifically covers Ogilvie syndrome, which is characterized by colonic dilation without mechanical obstruction. It may be associated with various underlying conditions, including electrolyte imbalances, medications, and systemic diseases.
K59.81 should be used when there is clear evidence of colonic dilation without obstruction, as confirmed by imaging studies. It is distinct from codes for mechanical obstruction or other gastrointestinal disorders.
Documentation should include clinical findings such as abdominal distension and pain, imaging results showing colonic dilation, and any relevant laboratory tests that may indicate underlying causes.
