ICD-10-CM Billable Code

K31.1

Adult hypertrophic pyloric stenosis

Clinical Classification Guidelines

Inclusion Terms

  • Pyloric stenosis NOS

Excludes Type 1

  • congenital or infantile pyloric stenosis (Q40.0)

Medical Intelligence & Overview

Adult hypertrophic pyloric stenosis is a condition characterized by the thickening of the muscles in the pylorus, which is the gateway between the stomach and the small intestine. This thickening causes a blockage, leading to difficulty in stomach emptying. While pyloric stenosis is often associated with infants, it can also occur in adults, where it is less common but noteworthy due to its potential impact on digestion and overall health. This guide offers an overview of the causes, symptoms, diagnosis, and treatment options for adult hypertrophic pyloric stenosis.

Causes & Symptoms

Clinical Causes: Idiopathic factors, where the exact cause is unknown Previous surgeries or scarring that may lead to muscle thickening Chronic peptic ulcers causing inflammation and muscular changes Rarely, as a complication of other gastrointestinal conditions

Key Symptoms: Persistent nausea and vomiting, especially of stomach contents Unintentional weight loss due to difficulty eating Dehydration and electrolyte imbalances from prolonged vomiting Feeling of fullness or bloating after eating Pain or discomfort in the upper abdomen Signs of dehydration such as dry mouth, dizziness, or dark urine

Diagnostic & Treatment

Diagnosis Path: The diagnosis of adult hypertrophic pyloric stenosis involves a combination of medical history, physical examination, and diagnostic testing. Healthcare providers may perform:

Treatment Protocols: Treatment aims to relieve the obstruction and address underlying issues. It typically involves:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is K31.1 a billable ICD-10 code?
Yes, K31.1 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report K31.1?
Clinical documentation must specify the nature of Adult hypertrophic pyloric stenosis and any associated comorbidities for accurate reporting.

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