Coding Crohn’s Disease in ICD-10
Coding Crohn’s Disease in ICD-10-CM see category K50. Crohn?s disease is a condition of chronic inflammation, potentially involving any location of the gastrointestinal tract, but most frequently affecting the end of the small bowel and the beginning of the large bowel. All layers of the intestine may be involved, and there can be normal, healthy bowel between patches of diseased bowel. The exact cause of Crohn?s disease remains unknown. There is some evidence that a virus or bacterium may trigger Crohn?s disease. When the immune system tries to fight off the invading microorganism, an abnormal immune response may cause the immune system to attack the cells in the digestive tract.
Leading experts suspect that one or more genes may make people more susceptible to Crohn?s disease. Crohn?s disease is more common in people who have family members with the disease; however, most people with Crohn?s disease do not have a family history of the disease.
Symptoms include:
? Persistent diarrhea (e.g., loose, watery, or frequent bowel movements),
? Cramping,
? Abdominal pain,
? Fever and at times,
? Rectal bleeding,
? Loss of appetite and weight loss also may occur.
The disease is not always limited to the gastrointestinal tract, and may also affect the joints, eyes, skin, and liver. Fatigue is another common complaint. Crohn?s disease can occur at any age, but usually occurs between the ages of 15-35.
ICD-10 Coding For Crohn’s Disease:
Crohn’s Disease in ICD-10 is coded to category K50.
The location of the Crohn?s disease, as well as any complication or manifestation, are important to code selection.
The locations are:
? Small intestine,
? Large intestine,
? Small and large intestine, or
? Unspecified.
The complications are:
? Rectal bleeding,
? Intestinal obstruction,
? Fistula, or
? Abscess.
If the complications are not documented, you must report an unspecified code.
The location of the Crohn?s disease, as well as any complication or manifestation, are important to code selection, as follows:
? K50.00 Crohn?s disease of small intestine without complication
? K50.011 Crohn?s disease of small intestine with rectal bleeding
? K50.012 Crohn?s disease of small intestine with intestinal obstruction
? K50.013 Crohn?s disease of small intestine with fistula
? K50.014 Crohn?s disease of small intestine with abscess
? K50.018 Crohn?s disease of small intestine with other complication
? K50.019 Crohn?s disease of small intestine unspecified complications
? K50.10 Crohn?s disease of large intestine without complications
? K50.111 Crohn?s disease of large intestine with rectal bleeding
? K50.112 Crohn?s disease of large intestine with intestinal obstruction
? K50.113 Crohn?s disease of large intestine with fistula
? K50.114 Crohn?s disease of large intestine with abscess
? K50.118 Crohn?s disease of large intestine with other complication
? K50.119 Crohn?s disease of large intestine unspecified complications
? K50.80 Crohn?s disease of both small and large intestine without complications
? K50.811 Crohn?s disease of both small and large intestine with rectal bleeding
? K50.812 Crohn?s disease of both small and large intestine with intestinal obstruction
? K50.813 Crohn?s disease of both small and large intestine with fistula
? K50.814 Crohn?s disease of both small and large intestine with abscess
? K50.818 Crohn?s disease of both small and large intestine with other complication
? K50.819 Crohn?s disease of both small and large intestine unspecified complications
? K50.90 Crohn?s disease, unspecified without complication
? K50.911 Crohn?s disease, unspecified with rectal bleeding
? K50.912 Crohn?s disease, unspecified with intestinal obstruction
? K50.913 Crohn?s disease, unspecified with fistula
? K50.914 Crohn?s disease, unspecified with abscess
? K50.918 Crohn?s disease, unspecified with other complication
? K50.919 Crohn?s disease, unspecified with unspecified complications