Add an asterisk within a search as a placeholder for any unknown or wildcard terms. Use with quotation marks to find variations of that exact phrase or to remember words in the middle of a phrase.

It typically starts in the rectum and affects a continuous bowel segment.

One difference between ICD-9-CM and ICD-10-CM is that in ICD-10-CM, codes for ulcerative colitis are combination codes that also identify complications of the disease.

She is having 4-6 loose stools per day, each containing blood and mucous.

PMH is significant for ulcerative colitis diagnosed in college and treated with sulfazine for a few years.

On review of her medical history, her last flare was almost 10 years ago and was resolved with cortisone enemas.

She was advised to schedule a colonoscopy at that time but did not return until today.

Temperature is recorded at 100.2, HR 88, RR 12, BP 12870, Wt.

On examination this is a thin, almost emaciated-looking patient, impeccably groomed and appearing somewhat younger than her stated age.

Oral mucosa is moist and pink with a few scattered aphthous ulcers noted on the posterior pharynx.

Abdomen appears slightly distended, with bowel sounds high-pitched and hyperactive.

There is tenderness and guarding with deep palpation on the upper and lower left quadrants.

Informed consent is obtained and the patient is sedated for a colonoscopy without bowel prep.

Visual exam is significant for inflammationulceration of multiple small areas involving the rectum and descending colon.

At the junction of the transverse and descending colon is a large pseudopolyp causing significant obstruction of the bowel lumen.

The patient tolerated the procedure well, and after adequate recovery she is discharged home with a prescription for Azathioprine orally and cortisone enemas.

When this reference is checked, the code provided is K51.40, which is reported for uncomplicated inflammatory polyps.

However, the inflammatory polyps are complicated by intestinal obstruction, so code K51.412 is reported.

Following that she worked in the managed care industry as a contracting and coding specialist for a major HMO.

Most recently she has worked as a clinical technical editor of coding and reimbursement print and electronic products.

She has also taught medical coding at the College of Eastern Utah.

Areas of expertise include: ICD-10-CM, ICD-10-PCS, ICD-9-CM diagnosis and procedure coding, physician coding and reimbursement, claims adjudication processes, third-party reimbursement, RBRVS and fee schedule development.

She is a member of the American Academy of Professional Coders (AAPC) and the American Health Information Management Association (AHIMA).

However, due to the nature of industry changes over time we cannot guarantee its validity after the year it was published.

Add a dash (-) before a word or site to exclude all results that include that word.: Fill in the blank.

Add an asterisk within a search as a placeholder for any unknown or wildcard terms.

Use with quotation marks to find variations of that exact phrase or to remember words in the middle of a phrase.

Polyp Cfr Rides