ICD Code K57.32

ICD code K57.32 is used to classify a medical diagnosis of diverticulitis of the large intestine without perforation or abscess and without bleeding. This code indicates that the patient has inflammation of the diverticula, which are small pouches that can form in the walls of the large intestine, but there is no associated perforation, abscess formation, or bleeding. This condition requires medical attention to manage symptoms and prevent complications.

1. Presence of Diverticulitis: The patient must be diagnosed with diverticulitis, which is the inflammation or infection of diverticula, the small pouches that can form in the walls of the large intestine.

2. Location in the Large Intestine: The diverticulitis must specifically affect the large intestine. This is crucial for accurate coding and treatment planning.

3. Absence of Perforation: There should be no evidence of perforation in the large intestine. Perforation would indicate a more severe condition that requires a different ICD code.

4. Absence of Abscess Formation: The condition should not involve the formation of an abscess. An abscess would necessitate a different diagnostic approach and coding.

5. No Associated Bleeding: The diverticulitis should not be accompanied by bleeding. The presence of bleeding would alter the clinical management and coding requirements.

6. Clinical Symptoms: The patient may present with symptoms such as abdominal pain, fever, and changes in bowel habits, but these should not be complicated by the aforementioned conditions (perforation, abscess, or bleeding).

7. Diagnostic Confirmation: The diagnosis should be confirmed through appropriate clinical evaluations, which may include imaging studies like a CT scan, to ensure the absence of complications such as perforation or abscess.

By adhering to these criteria, healthcare providers can ensure accurate documentation and coding, which is essential for effective revenue cycle management and optimal patient care.

For the ICD code K57.32, which pertains to diverticulitis of the large intestine without perforation or abscess and without bleeding, the relevant CPT codes for treatment may include:

1. 99201-99205: Office or other outpatient visit for the evaluation and management of a new patient.

2. 99211-99215: Office or other outpatient visit for the evaluation and management of an established patient.

3. 44140: Colectomy, partial; with anastomosis.

4. 44141: Colectomy, partial; with skin level cecostomy or colostomy.

5. 44143: Colectomy, partial; with end colostomy and closure of distal segment (Hartmann type procedure).

6. 44144: Colectomy, partial; with resection, with colostomy or ileostomy and creation of mucofistula.

7. 44145: Colectomy, partial; with coloproctostomy (low pelvic anastomosis).

8. 44146: Colectomy, partial; with coloproctostomy (low pelvic anastomosis), with colostomy.

9. 44204: Laparoscopy, surgical; colectomy, partial, with anastomosis.

10. 44205: Laparoscopy, surgical; colectomy, partial, with removal of terminal ileum with ileocolostomy.

11. 44206: Laparoscopy, surgical; colectomy, partial, with colostomy.

12. 44207: Laparoscopy, surgical; colectomy, partial, with coloproctostomy (low pelvic anastomosis).

13. 44208: Laparoscopy, surgical; colectomy, partial, with coloproctostomy (low pelvic anastomosis), with colostomy.

These CPT codes cover a range of services from evaluation and management to surgical interventions that may be relevant for treating conditions associated with ICD code K57.32. It is important for healthcare providers to select the appropriate CPT code based on the specific services rendered to ensure accurate billing and reimbursement.

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