I felt that is should be coded to large bowel obstruction because 1) that is what was treated and consistently documented throughout the chart and 2) the gastrografin enema was done on day 3 and the obstruction could have resolved at that point. A clinical coder must assign ICD-10 codes to the diagnoses recorded in the medical. The coder wants to code this to constipation with the rationale that the gastrografin enema showed no obstruction, therefore was ruled out. The final diagnosis was large bowel obstruction secondary to constipation. By day 4 she was doing much better, NG was removed, started on clears, and she was d/c'd on day 5. Pt was having liquid stools and on day 3 her NG output was still high and abd xray showed "more gaseous distention of the colon." It was decided at this point to do a gastrografin enema which showed no obstruction. It is found in the 2022 version of the ICD-10 Clinical Modification (CM) and can be. K590 - ICD 10 Diagnosis Code - Constipation - Market Size, Prevalence, Incidence, Quality Outcomes, Top Hospitals & Physicians Want to know more about Dexurs. She was kept NPO and had NG placed w/ 1:1 replacement. K59.09 is a valid billable ICD-10 diagnosis code for Other constipation. Chronic constipation Constipation with overflow incontinence Constipation, chronic Opioid induced constipation in. ICD-10-CM Diagnosis Code K59.09 convert to ICD-9-CM Other constipation. ileus so she was admitted with the diagnosis of Partial Large Bowel Obstruction. Showing 1-25: ICD-10-CM Diagnosis Code K59.04 convert to ICD-9-CM Chronic idiopathic constipation. CT showed partial large bowel obstruction (w/ marked distention up to 6 cm in diameter) vs. Patient with a significant hx of multiple abdominal surgeries including a colostomy that was reversed, was admitted w/ abdoiminal pain and n/v. I am looking for the opinions of the group regarding a situation where there is a conflict in opinion between the CDS and coder. The World Health Organization also has not recognized IBS-C (irritable bowel syndrome with constipation) as a stand-alone diagnosis, so ICD-10 requires use of.
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