K57.81 - Diverticulitis of intestine, part unspecified, with perforation and abscess with bleeding
| ICD-10: | K57.81 |
| Short Description: | Dvtrcli of intest, part unsp, w perf and abscess w bleeding |
| Long Description: | Diverticulitis of intestine, part unspecified, with perforation and abscess with bleeding |
| Status: | Valid for Submission |
| Version: | ICD-10-CM 2023 |
| Code Classification: |
K57.81 is a billable ICD-10 code used to specify a medical diagnosis of diverticulitis of intestine, part unspecified, with perforation and abscess with bleeding. The code is valid during the fiscal year 2023 from October 01, 2022 through September 30, 2023 for the submission of HIPAA-covered transactions.
Unspecified diagnosis codes like K57.81 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
Index to Diseases and Injuries References
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for this diagnosis code are found in the injuries and diseases index:
- - Abscess (connective tissue) (embolic) (fistulous) (infective) (metastatic) (multiple) (pernicious) (pyogenic) (septic) - L02.91
- - with
- - diverticular disease (intestine) - K57.80
- - with bleeding - K57.81
- - diverticular disease (intestine) - K57.80
- - with
- - Diverticulitis (acute) - K57.92
- - intestine - K57.92
- - with
- - abscess, perforation - K57.80
- - with bleeding - K57.81
- - abscess, perforation - K57.80
- - with
- - intestine - K57.92
- - Perforation, perforated (nontraumatic) (of)
- - diverticulum (intestine) - K57.80
- - with bleeding - K57.81
- - diverticulum (intestine) - K57.80
- - Peritonitis (adhesive) (bacterial) (fibrinous) (hemorrhagic) (idiopathic) (localized) (perforative) (primary) (with adhesions) (with effusion) - K65.9
- - with or following
- - diverticular disease (intestine) - K57.80
- - with bleeding - K57.81
- - diverticular disease (intestine) - K57.80
- - with or following
- - Rupture, ruptured
- - diverticulum (intestine) - K57.80
- - with bleeding - K57.81
- - diverticulum (intestine) - K57.80
Convert to ICD-9 Code
| Source ICD-10 Code | Target ICD-9 Code | |
|---|---|---|
| K57.81 | 562.13 - Dvrtcli colon w hmrhg | |
| Combination Flag - Multiple codes are needed to describe the source diagnosis code. Correct coding should be done based on contextual judgment. | ||
| K57.81 | 569.5 - Intestinal abscess | |
| Combination Flag - Multiple codes are needed to describe the source diagnosis code. Correct coding should be done based on contextual judgment. | ||
Patient Education
Abscess
An abscess is a pocket of pus. You can get an abscess almost anywhere in your body. When an area of your body becomes infected, your body's immune system tries to fight the infection. White blood cells go to the infected area, collect within the damaged tissue, and cause inflammation. During this process, pus forms. Pus is a mixture of living and dead white blood cells, germs, and dead tissue.
Bacteria, viruses, parasites and swallowed objects can all lead to abscesses. Skin abscesses are easy to detect. They are red, raised and painful. Abscesses inside your body may not be obvious and can damage organs, including the brain, lungs and others. Treatments include drainage and antibiotics.
[Learn More in MedlinePlus]
Diverticulosis and Diverticulitis
Diverticula are small pouches that bulge outward through the colon, or large intestine. If you have these pouches, you have a condition called diverticulosis. It becomes more common as people age. About half of all people over age 60 have it. Doctors believe the main cause is a low-fiber diet.
Most people with diverticulosis don't have symptoms. Sometimes it causes mild cramps, bloating or constipation. Diverticulosis is often found through tests ordered for something else. For example, it is often found during a colonoscopy to screen for cancer. A high-fiber diet and mild pain reliever will often relieve symptoms.
If the pouches become inflamed or infected, you have a condition called diverticulitis. The most common symptom is abdominal pain, usually on the left side. You may also have fever, nausea, vomiting, chills, cramping, and constipation. In serious cases, diverticulitis can lead to bleeding, tears, or blockages. Your doctor will do a physical exam and imaging tests to diagnose it. Treatment may include antibiotics, pain relievers, and a liquid diet. A serious case may require a hospital stay or surgery.
NIH: National Institute of Diabetes and Digestive and Kidney Diseases
[Learn More in MedlinePlus]
Gastrointestinal Bleeding
Your digestive or gastrointestinal (GI) tract includes the esophagus, stomach, small intestine, large intestine or colon, rectum, and anus. Bleeding can come from any of these areas. The amount of bleeding can be so small that only a lab test can find it.
Signs of bleeding in the digestive tract depend where it is and how much bleeding there is.
Signs of bleeding in the upper digestive tract include:
- Bright red blood in vomit
- Vomit that looks like coffee grounds
- Black or tarry stool
- Dark blood mixed with stool
Signs of bleeding in the lower digestive tract include:
- Black or tarry stool
- Dark blood mixed with stool
- Stool mixed or coated with bright red blood
GI bleeding is not a disease, but a symptom of a disease. There are many possible causes of GI bleeding, including hemorrhoids, peptic ulcers, tears or inflammation in the esophagus, diverticulosis and diverticulitis, ulcerative colitis and Crohn's disease, colonic polyps, or cancer in the colon, stomach or esophagus.
The test used most often to look for the cause of GI bleeding is called endoscopy. It uses a flexible instrument inserted through the mouth or rectum to view the inside of the GI tract. A type of endoscopy called colonoscopy looks at the large intestine.
NIH: National Institute of Diabetes and Digestive and Kidney Diseases
[Learn More in MedlinePlus]
Code History
- FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
- FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)