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Home/Diagnosis/ICD-10 Coding for Bowel Perforation

ICD-10 Coding for Bowel Perforation

K63.1
K35.2
K91.71

Complete ICD-10-CM coding and documentation guide for icd-10 coding for bowel perforation includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Intestinal Perforation
Gastrointestinal Perforation
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Key Information: ICD-10 Coding for Bowel Perforation

Essential facts and insights about ICD-10 Coding for Bowel Perforation

Use ICD-10 code K63.1 for perforation of intestine (nontraumatic), ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Perforation of intestine (nontraumatic)

Billable Code
K63.1
Billable

Diagnostic Criteria

clinical:
  • • CT scan shows free air indicating perforation.
documentation:
  • • Surgical report confirms nontraumatic perforation.

Applicable To

  • • Rectal perforation

Important Notes

  • • Ensure documentation specifies nontraumatic nature and location of perforation.

Acute appendicitis with perforation and peritonitis

Non-Billable
K35.2
Non-Billable

Diagnostic Criteria

clinical:
  • • Clinical signs of appendicitis with imaging or surgical confirmation of perforation

Applicable To

  • • Perforated appendicitis

Important Notes

  • • Ensure documentation clearly links appendicitis to perforation.

Accidental puncture and laceration of a digestive system organ or structure during a procedure

Billable Code
K91.71
Billable

Diagnostic Criteria

clinical:
  • • Operative report detailing accidental perforation during procedure

Applicable To

  • • Iatrogenic perforation during procedure

Important Notes

  • • Ensure linkage to the specific procedure and document clinical significance.
Ancillary Codes

Additional codes that may be used with this diagnosis

K65.0

Generalized peritonitis

Use when peritonitis is present as a result of the perforation.

Frequently Asked Questions

What is the ICD-10 code for bowel perforation?

The ICD-10 code for nontraumatic bowel perforation is K63.1. This code is used when the perforation is not related to trauma or a specific procedure.

How do you code a perforated bowel during surgery?

For a perforated bowel occurring during surgery, use ICD-10 code K91.71, which covers accidental puncture and laceration during a procedure.

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