Mesenteric ischemia, acute: Difference between revisions
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{{ICD10 category|Gastrointestinal}}{{ICD10 category|Cardiovascular}}{{ICD10 category|Ischemia}} | {{ICD10 category|Gastrointestinal}}{{ICD10 category|Cardiovascular}}{{ICD10 category|Ischemia}}{{ICD10 category|Arterial thromboembolism}}{{ICD10 category|Venous thromboembolism}} | ||
== Additional Info == | == Additional Info == | ||
*This code covers | *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]] | ||
{{ICD10 Guideline ischemic gut}} | {{ICD10 Guideline ischemic gut}} | ||
{{ICD10 Guideline Regional Ischemia}} | |||
== Alternate ICD10s to consider coding instead or in addition == | == Alternate ICD10s to consider coding instead or in addition == | ||
{{ListICD10Category | categoryName = Ischemic gut}} | {{ListICD10Category | categoryName = Ischemic gut}} | ||
{{ListICD10Category | categoryName = Gastroenteritis}} | {{ListICD10Category | categoryName = Gastroenteritis}} | ||
{{ListICD10Category | categoryName = Arterial thromboembolism}} | |||
{{ListICD10Category | categoryName = Venous thromboembolism}} | |||
*[[Ulcerative colitis]] | *[[Ulcerative colitis]] | ||
*[[Compartment syndrome, abdominal]] | *[[Compartment syndrome, abdominal]] | ||
Latest revision as of 10:06, 2023 May 9
| 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 | |
This diagnosis is a part of ICD10 collection.
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
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
- 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
| Ischemic gut codes: |
Candidate Combined ICD10 codes
Related CCI Codes
Data Integrity Checks (automatic list)
none found
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