K90.83
Intestinal failure
Clinical Classification Guidelines
Medical Intelligence & Overview
Intestinal failure is a condition where the intestines cannot absorb enough nutrients from food to meet the body's needs. This can lead to malnutrition, dehydration, and other serious health issues. Patients with this condition often require specialized medical management to sustain proper nutrition and hydration levels. The ICD-10 code K90.83 is used to classify cases of intestinal failure, which can arise from various underlying causes that impair normal intestinal function.
Causes & Symptoms
Clinical Causes: Extensive intestinal surgery leading to loss of absorptive surface Chronic intestinal diseases such as Crohn's disease or radiation enteritis Ischemia or reduced blood flow to the intestines causing tissue damage Congenital conditions affecting intestinal development Severe infections that damage intestinal tissue Trauma to the abdominal area impairing intestinal function Prolonged use of total parenteral nutrition (TPN) which may lead to dependency
Key Symptoms: Unintentional weight loss Chronic diarrhea or steatorrhea (fatty stools) Dehydration and electrolyte imbalances Nutritional deficiencies such as anemia, vitamin or mineral deficits Fatigue and weakness Swelling or edema due to fluid imbalance Zinc deficiency causing skin issues In some cases, symptoms of infections or other complications related to nutritional support
Diagnostic & Treatment
Diagnosis Path: Assessment of dietary intake and nutritional status Blood tests to evaluate electrolyte levels, vitamin/mineral deficiencies, and signs of malnutrition Imaging studies, such as abdominal X-rays, CT scans, or MRI to assess bowel structure Endoscopic procedures to inspect intestinal mucosa Assessment of absorptive capacity through special tests like D-xylose absorption test Monitoring response to nutritional interventions
Treatment Protocols: Nutritional support through specialized diets tailored to absorption capacity Parenteral nutrition (intravenous nutrition) when enteral intake is insufficient Medications to manage symptoms or treat underlying causes, such as anti-inflammatory drugs for inflammatory conditions Surgical interventions to restore or bypass damaged sections of the intestine, if feasible Management of electrolyte and fluid imbalances Monitoring and treating any infections or complications Addressing underlying diseases contributing to intestinal failure
Clinical Advice & FAQs
Billing Guidance
Is K90.83 a billable ICD-10 code?
Yes, K90.83 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report K90.83?
Clinical documentation must specify the nature of Intestinal failure and any associated comorbidities for accurate reporting.
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