ICD Code K57.92

ICD code K57.92 is used to identify a medical diagnosis of diverticulitis of the intestine where the specific part of the intestine is unspecified. This condition is characterized by inflammation or infection of small pouches, known as diverticula, that can form in the walls of the intestines. The code specifies that this diagnosis does not involve perforation or abscess formation and is not associated with bleeding. This code is crucial for accurate medical billing and documentation, ensuring that healthcare providers can effectively communicate the patient's condition for treatment and reimbursement purposes.

1. Presence of Diverticulitis: The patient must be diagnosed with diverticulitis, which is the inflammation or infection of one or more diverticula in the digestive tract.

2. Location of Condition: The diverticulitis must be located in the intestine, but the specific part of the intestine is not identified or specified in the diagnosis.

3. Absence of Perforation or Abscess: The condition should not involve any perforation (a hole or tear in the intestine) or the formation of an abscess (a collection of pus).

4. Absence of Bleeding: There should be no evidence of bleeding associated with the diverticulitis. This includes the absence of gastrointestinal bleeding symptoms such as blood in the stool or rectal bleeding.

5. Clinical Symptoms: The patient may present with symptoms such as abdominal pain, fever, nausea, and changes in bowel habits, which are typical of diverticulitis but without complications like perforation, abscess, or bleeding.

6. Diagnostic Confirmation: The diagnosis should be confirmed through appropriate clinical evaluation, which may include imaging studies such as a CT scan to rule out complications and confirm the presence of diverticulitis.

7. Exclusion of Other Conditions: Other potential causes of the symptoms should be ruled out to ensure that the diagnosis of diverticulitis is accurate and that it meets the criteria for this specific ICD code.

For the ICD code K57.92, which pertains to diverticulitis of the intestine, part unspecified, without perforation or abscess without bleeding, the relevant CPT codes that may be applicable for treatment 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 represent a range of procedures that may be considered depending on the specific clinical scenario and treatment plan for a patient diagnosed with K57.92. It is important for healthcare providers to select the appropriate CPT code based on the specific services rendered.

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