K63.2
Fistula of intestine
Clinical Classification Guidelines
Excludes Type 1
- fistula of duodenum (K31.6)
- fistula of intestine with Crohn's disease (K50.013, K50.113, K50.813, K50.913,)
- fistula of intestine with ulcerative colitis (K51.013, K51.213, K51.313, K51.413, K51.513, K51.813, K51.913)
Excludes Type 2
- fistula of anal and rectal regions (K60.-)
- fistula of appendix (K38.3)
- intestinal-genital fistula, female (N82.2-N82.4)
- vesicointestinal fistula (N32.1)
Code Also
- , if applicable, disruption of internal operation (surgical) wound (T81.32-)
Medical Intelligence & Overview
An intestinal fistula is an abnormal connection between the intestine and another organ or the skin. This condition can occur due to various reasons such as surgery, inflammation, or injury, leading to an unintended passage that can cause complications if not properly managed. Recognizing the signs and understanding the causes can aid in seeking appropriate medical care.
Causes & Symptoms
Clinical Causes: Previous abdominal or intestinal surgery, especially if complications or infections occur Inflammatory conditions like Crohn’s disease or diverticulitis Trauma or injury to the abdomen that damages the intestinal wall Radiation therapy targeting abdominal or pelvic areas Cancer involving the intestines or nearby organs leading to tissue breakdown Infections that compromise the integrity of intestinal tissues
Key Symptoms: Unusual discharge from the skin or wound site near the abdomen Persistent or recurrent infections around the abdominal area Abdominal pain or tenderness Changes in bowel habits, such as diarrhea or constipation Foul smell or abnormal drainage from the fistula opening Signs of systemic infection like fever, chills, and fatigue Nutritional deficiencies due to malabsorption
Diagnostic & Treatment
Diagnosis Path: Diagnosing an intestinal fistula typically involves a combination of medical history assessment, physical examination, and imaging studies. Tests may include:
Treatment Protocols: Managing an intestinal fistula usually requires a multidisciplinary approach, with options tailored to the fistula’s complexity and patient health. Treatments may include:
Clinical Advice & FAQs
Billing Guidance
Is K63.2 a billable ICD-10 code?
Yes, K63.2 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report K63.2?
Clinical documentation must specify the nature of Fistula of intestine and any associated comorbidities for accurate reporting.
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