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K56.600
ICD-10-CM
Partial Small Bowel Obstruction

Find information on Partial Small Bowel Obstruction diagnosis, including clinical documentation tips, ICD-10 codes (K56.60, K56.69), SNOMED CT concepts, and healthcare billing guidelines. Learn about symptoms, treatment, and postoperative care for partial SBO, along with medical coding best practices for accurate reimbursement. This resource offers guidance for physicians, nurses, and medical coders dealing with partial small bowel obstruction cases.

Also known as

Partial SBO
Partial Intestinal Obstruction

Related ICD-10 Code Ranges

Complete code families applicable to AAPC K56.600 Coding
K56.0-K56.9

Paralytic ileus and intestinal obstruction without hernia

Covers various intestinal obstructions, including partial small bowel obstruction.

K56.60-K56.69

Intestinal obstruction, unspecified part without hernia

Includes cases where the specific part of the intestine obstructed is unknown.

K91.3

Postoperative ileus

May be relevant if the partial obstruction follows abdominal surgery.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is the partial small bowel obstruction due to a hernia?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Partial Small Bowel Obstruction
Ileus
Complete Small Bowel Obstruction

Documentation Best Practices

Documentation Checklist
  • Document specific location of obstruction.
  • Describe character of vomitus (if present).
  • Note presence/absence of bowel sounds.
  • Document abdominal distension, tenderness.
  • Imaging findings confirming partial obstruction.

Coding and Audit Risks

Common Risks
  • Unspecified Obstruction Location

    Coding Partial Small Bowel Obstruction without specifying the location may lead to claim denials. CDI should query for anatomical details.

  • Incorrect Obstruction Cause

    Miscoding the etiology of the obstruction (e.g., adhesion, hernia) impacts DRG assignment and reimbursement. Thorough documentation is crucial.

  • Missing Post-op Complication Codes

    Failing to code post-operative complications like perforation or infection with Partial Small Bowel Obstruction impacts quality metrics and reimbursement.

Mitigation Tips

Best Practices
  • Document specific obstruction location for accurate ICD-10 coding (K56.6).
  • Correlate symptoms, imaging, labs for CDI of partial vs. complete obstruction.
  • Timely reassessment, document response to conservative management for compliance.
  • Query physician for clarity if documentation lacks detail for accurate coding.
  • Ensure proper CPT coding for diagnostic tests (e.g., CT abdomen/pelvis).

Clinical Decision Support

Checklist
  • Hx: Nausea, vomiting, abdominal pain, distension?
  • PE: High-pitched bowel sounds, tenderness?
  • Imaging: Dilated small bowel loops, air-fluid levels?
  • Labs: Electrolyte imbalances, elevated WBC?
  • Consider other causes of obstruction?

Reimbursement and Quality Metrics

Impact Summary
  • Partial Small Bowel Obstruction reimbursement hinges on accurate ICD-10-CM (K56.60, K56.61) and CPT coding for procedures like NG tube insertion or surgery. Impacts: higher claims denial rate with incorrect coding; reduced revenue with downcoding.
  • Quality metrics impacted by time to diagnosis, pain management effectiveness, length of stay, and unplanned readmissions. Impacts: lower hospital quality scores; decreased patient satisfaction; potential value-based penalties.
  • Appropriate documentation of symptoms, imaging findings, and treatment is crucial for accurate coding and optimal reimbursement. Impacts: improved case mix index; accurate reflection of resource utilization.
  • Timely follow-up after discharge impacts readmission rates and overall patient outcomes related to Partial Small Bowel Obstruction. Impacts: reduced healthcare costs; better patient experience; improved hospital reputation.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes. Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code K56.6 for partial obstruction
  • Document specific location
  • Specify cause if known
  • Consider K56.50 unspecified
  • Rule out complete obstruction

Documentation Templates

Patient presents with symptoms suggestive of partial small bowel obstruction (PSBO).  Presenting complaints include intermittent crampy abdominal pain, nausea, vomiting, abdominal distension, and decreased bowel movements.  The patient reports passing some gas and small amounts of liquid stool, ruling out complete obstruction.  On physical examination, the abdomen is distended and tender to palpation, with audible high-pitched bowel sounds.  No signs of peritonitis or rebound tenderness are noted.  Differential diagnoses considered include ileus, gastroenteritis, and constipation.  Initial workup includes abdominal X-ray demonstrating dilated small bowel loops with air-fluid levels proximal to the suspected obstruction site.  Complete blood count (CBC) and comprehensive metabolic panel (CMP) were ordered to assess for dehydration, electrolyte imbalances, and signs of infection.  A CT scan of the abdomen and pelvis with intravenous contrast is planned to further evaluate the cause and location of the obstruction.  Patient is currently being managed conservatively with intravenous fluids, nasogastric (NG) tube decompression, and bowel rest.  The patient's clinical status will be closely monitored for resolution of symptoms.  Surgical consultation is considered if conservative management fails or if signs of bowel ischemia or perforation develop.  Diagnosis:  Partial small bowel obstruction.  ICD-10 code: K56.60.