ICD Code K56.60

ICD code K56.60 is used to classify a condition where there is a blockage in the intestines, but the specific cause or type of obstruction is not identified. This code is typically used when a patient presents with symptoms of an intestinal blockage, such as abdominal pain, vomiting, and constipation, but further diagnostic information is needed to determine the exact nature of the obstruction. It is important for healthcare providers to accurately document this code to ensure proper treatment and facilitate the billing process.

1. Abdominal Pain: Persistent or severe abdominal pain that may be diffuse or localized, often indicating a blockage in the intestines.

2. Nausea and Vomiting: Frequent episodes of nausea and vomiting, which can be a result of the body's inability to pass food and fluids through the digestive tract.

3. Inability to Pass Gas or Stool: A noticeable absence of bowel movements or the inability to pass gas, suggesting a potential obstruction.

4. Abdominal Distension: Swelling or bloating of the abdomen due to trapped gas or fluid, which can be a sign of an intestinal blockage.

5. Bowel Sounds: Abnormal bowel sounds, such as high-pitched or absent sounds, which may indicate a disruption in normal intestinal activity.

6. Previous Abdominal Surgery: A history of abdominal surgeries, which can increase the risk of adhesions leading to obstruction.

7. Physical Examination Findings: Tenderness or rigidity upon palpation of the abdomen, which may suggest an underlying obstruction.

8. Imaging Results: Radiological evidence from X-rays, CT scans, or ultrasounds showing signs of obstruction, such as dilated bowel loops or air-fluid levels.

9. Electrolyte Imbalance: Laboratory findings indicating electrolyte disturbances, which can occur due to prolonged vomiting or inability to absorb nutrients.

10. Dehydration: Clinical signs of dehydration, such as dry mucous membranes or decreased urine output, resulting from fluid loss associated with vomiting or diarrhea.

For the ICD code K56.60, which pertains to unspecified intestinal obstruction, the relevant CPT codes that may be applicable for treatment include:

1. 44005 - Enterolysis (freeing of intestinal adhesion) (separate procedure)

2. 44180 - Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure)

3. 44141 - Colectomy, partial; with anastomosis

4. 44143 - Colectomy, partial; with end colostomy and closure of distal segment (Hartmann type procedure)

5. 44160 - Colectomy, partial, with removal of terminal ileum with ileocolostomy

6. 44204 - Laparoscopy, surgical; colectomy, partial, with anastomosis

7. 44205 - Laparoscopy, surgical; colectomy, partial, with removal of terminal ileum with ileocolostomy

8. 44602 - Repair of intestinal fistula, enterocutaneous; without resection

9. 44603 - Repair of intestinal fistula, enterocutaneous; with resection and anastomosis

These CPT codes represent various surgical procedures that may be performed to address the condition associated with ICD code K56.60. It's important for healthcare providers to select the appropriate CPT code based on the specific procedure performed and the clinical scenario.

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