K52.82
Eosinophilic colitis
Clinical Classification Guidelines
Excludes Type 2
- allergic proctocolitis (K52.29)
- food-induced eosinophilic proctocolitis (K52.29)
- food protein-induced enterocolitis syndrome (FPIES) (K52.21)
- food protein-induced proctocolitis (K52.29)
- milk protein-induced proctocolitis (K52.29)
Medical Intelligence & Overview
Eosinophilic colitis is a rare type of inflammatory bowel disease characterized by an elevated number of eosinophils—a specific type of white blood cell—in the colon. This condition causes inflammation and tissue damage in the large intestine, leading to various gastrointestinal symptoms. Although it can affect individuals of all ages, it is more commonly diagnosed in infants and young children, but adults can also be impacted. Proper understanding of eosinophilic colitis can aid in recognizing its symptoms and seeking appropriate medical evaluation.
Causes & Symptoms
Clinical Causes: Allergic reactions to foods or environmental allergens Food sensitivities or intolerances Genetic predispositions influencing immune responses Underlying inflammatory or immune system disorders Exposure to certain medications or toxins that trigger eosinophil accumulation
Key Symptoms: Chronic or episodic diarrhea, often containing mucus or blood Abdominal pain and cramping Unexplained weight loss or poor growth in children Fever in some cases Feeling of urgency to have a bowel movement Nausea or vomiting in severe cases Decreased appetite Fatigue related to ongoing inflammation
Diagnostic & Treatment
Diagnosis Path: Colonoscopy with biopsy: Tissue samples from the colon are examined under a microscope to identify increased eosinophils Blood tests: To detect signs of inflammation and rule out other conditions Stool studies: To check for infections or other causes of gastrointestinal symptoms Allergy testing: To identify potential food or environmental allergens that might trigger eosinophilic responses Imaging tests: Such as abdominal ultrasound or MRI, not essential but useful for comprehensive assessment
Treatment Protocols: Dietary modifications: Eliminating foods suspected to trigger allergic responses, often guided by allergy testing or food elimination diets Medications: Including corticosteroids to decrease inflammation, antihistamines for allergy symptoms, and other immune-modulating drugs Nutritional support: Ensuring adequate nutrition, especially in children with growth issues Monitoring and follow-up: Regular assessment of symptoms and colon health to adjust treatment plans accordingly Addressing associated allergic conditions: Such as asthma or eczema, if present
Clinical Advice & FAQs
Billing Guidance
Is K52.82 a billable ICD-10 code?
Yes, K52.82 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report K52.82?
Clinical documentation must specify the nature of Eosinophilic colitis and any associated comorbidities for accurate reporting.
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