Mesenteric ischemia, acute

ICD10 Diagnosis
Dx:	Mesenteric ischemia, acute
ICD10 code:	K55.0
Pre-ICD10 counterpart:	Ischemic Bowel, Mesenteric Infarct/Thrombosis
Charlson/ALERT Scale:	none
APACHE Como Component:	none
APACHE Acute Component:	none
Start Date:
Stop Date:
External ICD10 Documentation	ICD-10 CM Wikipedia ICD-10 Wikipedia WHO ICD10 documentation ICD10data.com

This diagnosis is a part of ICD10 collection.

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  • 2019-01-01
  • 2999-12-31
  • K55.0

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Additional Info

• This code covers ischemia or infarction of any part of the intestines.
• infarction from mesenteric thromboembolism
• ischemic colitis- combine with Colitis, enteritis, enterocolitis, or gastroenteritis, noninfectious NOS

Ischemic gut guideline

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There are separate codes for different parts of the ischemic gut:

• The following 3 items refer to ischemia of the intestines, including small bowel (including duodenem), or colon, rectum, anus
  • Mesenteric ischemia, acute
  • Mesenteric ischemia, chronic
  • Mesenteric ischemia, NOS
• For ischemia of the stomach -- use Disorder of stomach or duodenum, NOS
• For ischemia of the liver -- use Disorder of liver, NOS
• For ischemia of the esophagus --- use Disorder of esophagus, NOS
• Thus, these various codes variously cover the following concepts:
  • "ischemic bowel"
  • "ischemic gut"
  • "mesenteric arterial thrombosis, embolism or thromboembolism"
  • "mesenteric vein thrombosis, embolism or thromboembolism"
  • "mesenteric arterial atherosclerosis"
• But these codes do NOT include:
  • The cause of that ischemia/infarction. As usual, if the cause is known, link the code for the cause to the relevant code as above for the ischemia, e.g: Atherosclerosis of arteries, NOS, Thrombosis or embolism of artery, NOS, Septic Thrombosis or Embolism, NOS, Disorder of artery/arteries, NOS
  • GI arterial disorders in the absence of mesenteric ischemia/infarction.

• Ischemia is an entity that can be contributed to my a variety of causes, and in any organ or body region
• When regional ischemia is present, you should use the ICD10 Category:Ischemia code for that body region, e.g. Limb ischemia (upper or lower), Mesenteric ischemia, acute
• IF known, you should also link to the ischemia code the contributing cause or causes, which may include:
  • the Category:Atherosclerosis code of the relevant regional arterial tree -- e.g. Atherosclerosis of arteries of arms or legs
  • the Category:Venous thromboembolism / Category:Arterial thromboembolism code of the relevant regional arterial tree -- e.g. Thromboembolism/embolism, renal vein
  • Compartment Syndrome
  • Mechanical compression of a limb or its vessels (as most often occurs in trauma situations)
  • Use of vasoconstrictor medications, for whatever indication
• Of course, a patient may have any of these potential causes of ischemia without ischemia.

Alternate ICD10s to consider coding instead or in addition

• Ulcerative colitis
• Compartment syndrome, abdominal

Candidate Combined ICD10 codes

Related CCI Codes

Data Integrity Checks (automatic list)

none found

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ICD10 Categories: ANCA-associated Vasculitis (AAV), Abdominal trauma, Abortion, Acute intoxication, Addiction, Adrenal Insufficiency, Adverse effect, Alcohol related, Allergy, Anemia, Anesthetic related, Aneurysm, Antibiotic resistance, Antidepressant related, Aortic Aneurysm, Arrhythmia, Arterial thromboembolism, Asthma, Atherosclerosis, Awaiting/delayed transfer, Bacteria, Benign neoplasm, Breast disease, Burn, COVID, Cannabis related, Cardiac septum problem, Cardiovascular, Cerebral Hemorrhage/Stroke, Chemical burn, Chronic kidney disease, Cirrhosis, Cocaine related, Decubitus ulcer, Delirium, Dementia, Diabetes, Diagnosis implying death, Double duty pathogen, ENT, Encephalitis, Encephalopathy, Endocrine disorder, Endocrine neoplasm, Exposure, Eye, Female genital neoplasm, Fistula, Fracture, Fungus, GI ulcer, Gastroenteritis, Gastrointestinal, Gastrointestinal neoplasm, Hallucinogen related, Has one, Head trauma, Head trauma (old), Healthcare contact, Heart valve disease, Heme/immunology, Heme/immunology neoplasm, Hemophilia, Hemorrhage, Hepatitis, Hereditary/congenital, Hernia, Hypertension, Hypotension, Iatrogenic, Iatrogenic infection, Iatrogenic mechanism, Imaging, Infection requiring pathogen, Infection with implied pathogen, Infectious disease, Inflammatory Bowel Disease, Influenza, Inhalation, Intra-abdominal infection, Ischemia, Ischemic gut, Ischemic heart disease, Joint/ligament trauma, Leukemia, Liver disease, Liver failure, Lower limb trauma, Lower respiratory tract infection, Lymphoma, Male genital neoplasm, Mechanism, Meningitis, Metabolic/nutrition, Metastasis, Misc, Muscle problem, Muscles/tendon trauma, Musculoskeletal/soft tissue, Musculoskeletal/soft tissue neoplasm... further results