ICD Code K50.90

ICD code K50.90 is used to identify a diagnosis of Crohn's disease that is unspecified and without any noted complications. This code is applied when a patient has been diagnosed with Crohn's disease, but the specific location or type of the disease within the gastrointestinal tract is not detailed, and there are no additional complications such as fistulas or abscesses associated with the condition.

1. Chronic Abdominal Pain: Persistent or recurrent abdominal pain that cannot be attributed to other gastrointestinal conditions.

2. Diarrhea: Frequent, loose, or watery stools that occur over an extended period, often accompanied by urgency.

3. Weight Loss: Unintentional weight loss due to malabsorption or decreased appetite, not explained by other conditions.

4. Fatigue: Persistent tiredness or exhaustion that is not relieved by rest and cannot be attributed to other medical conditions.

5. Fever: Recurrent low-grade fever without an identifiable infectious cause.

6. Anemia: Evidence of anemia, often due to chronic blood loss or malabsorption of nutrients, leading to symptoms such as pallor and shortness of breath.

7. Growth Delay in Children: Slowed growth or delayed puberty in pediatric patients, not explained by other causes.

8. Extraintestinal Manifestations: Presence of symptoms outside the gastrointestinal tract, such as joint pain, skin rashes, or eye inflammation, without a clear alternative diagnosis.

9. Family History: A family history of inflammatory bowel disease, which may increase the suspicion of this condition.

10. Endoscopic Findings: Endoscopic examination revealing inflammation, ulcers, or other characteristic changes in the gastrointestinal tract, without evidence of other specific diseases.

11. Histological Evidence: Biopsy results showing granulomas or other histological features consistent with the condition, in the absence of other identifiable causes.

12. Imaging Studies: Radiological findings, such as thickening of the bowel wall or strictures, that support the diagnosis when other conditions have been ruled out.

For the ICD code K50.90, which pertains to Crohn's disease, unspecified, without complications, the relevant CPT codes that may be applicable for treatment and management include:

1. 99201-99215: Evaluation and Management (E/M) services for new or established patients, depending on the complexity and time spent.

2. 45378: Colonoscopy, flexible; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure).

3. 45380: Colonoscopy with biopsy, single or multiple.

4. 45385: Colonoscopy with removal of tumor(s), polyp(s), or other lesion(s) by snare technique.

5. 74261: Computed tomographic (CT) colonography, diagnostic, including image postprocessing; without contrast material.

6. 74262: CT colonography, diagnostic, including image postprocessing; with contrast material(s).

7. 91035: Esophagogastroduodenoscopy (EGD) with biopsy, single or multiple.

8. 91110: Gastrointestinal tract imaging, intraluminal (e.g., capsule endoscopy), esophagus through ileum, with interpretation and report.

9. 96401-96402: Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic.

10. J1745: Injection, infliximab, 10 mg (for biologic therapy).

These CPT codes are examples of procedures and services that may be utilized in the management and treatment of patients with Crohn's disease, unspecified, without complications. It is important for healthcare providers to select the appropriate CPT codes based on the specific services rendered and the clinical scenario.

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