ICD Code K57.30

ICD code K57.30 is used to identify a medical diagnosis of diverticulosis of the large intestine without perforation or abscess and without bleeding. This code is part of the International Classification of Diseases (ICD) system, which is used by healthcare providers to standardize the diagnosis of medical conditions. In this case, K57.30 specifically refers to the presence of diverticula, which are small bulging pouches, in the large intestine. These pouches are not associated with any complications such as perforation, abscess formation, or bleeding, which can sometimes occur with diverticulosis. This code helps in accurately documenting the patient's condition for treatment planning and insurance billing purposes.

1. Presence of Diverticula: Confirm the presence of diverticula in the large intestine through diagnostic imaging such as a colonoscopy, CT scan, or barium enema. These are small, bulging pouches that can form in the lining of the digestive system.

2. Absence of Perforation: Ensure there is no evidence of perforation in the large intestine. Perforation would typically present with severe abdominal pain, fever, and signs of peritonitis, which are not present in this case.

3. Absence of Abscess: Verify that there is no formation of an abscess in the large intestine. An abscess would usually be indicated by localized pain, fever, and possibly a palpable mass, which should not be present.

4. No Bleeding: Confirm that there is no gastrointestinal bleeding associated with the diverticulosis. This would be indicated by the absence of symptoms such as hematochezia (bright red blood in stool) or melena (black, tarry stools).

5. Asymptomatic or Mild Symptoms: The patient may be asymptomatic or present with mild, non-specific symptoms such as occasional abdominal discomfort or bloating, but without the acute symptoms associated with diverticulitis or complications.

6. Routine Screening or Incidental Finding: The condition is often identified during routine screening procedures or incidentally during examinations for other conditions, as it may not present with significant symptoms.

By adhering to these criteria, healthcare providers can accurately document and manage the condition using the appropriate ICD code.

For the ICD code K57.30, which pertains to diverticulosis of the large intestine without perforation or abscess and without bleeding, the relevant CPT codes that may be applicable for treatment or diagnostic procedures include:

1. 45378 - Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure).

2. 45380 - Colonoscopy, flexible; with biopsy, single or multiple.

3. 45384 - Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery.

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

5. 74270 - Radiologic examination, colon; contrast (e.g., barium enema), with or without KUB.

These CPT codes are commonly used for procedures that may be performed to diagnose or manage conditions associated with the ICD code K57.30. It is important for healthcare providers to select the appropriate CPT code based on the specific procedure performed and the clinical scenario.

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