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K56.609
ICD-10-CM
Small Bowel Obstruction Unspecified

Find information on Small Bowel Obstruction Unspecified diagnosis, including ICD-10 code K56.6. Learn about symptoms, causes, treatment, and clinical documentation best practices for small bowel obstruction. This resource provides guidance on medical coding for healthcare professionals, focusing on accurate and specific coding for unspecified small bowel obstructions. Explore details regarding partial and complete small bowel obstruction, ileus, and abdominal distension related to this diagnosis for optimal patient care and accurate medical recordkeeping.

Also known as

SBO Unspecified
Intestinal Obstruction Unspecified

Diagnosis Snapshot

Key Facts
  • Definition : Blockage of the small intestine preventing normal passage of food.
  • Clinical Signs : Abdominal pain, vomiting, distension, constipation, dehydration.
  • Common Settings : Emergency room, surgical ward, inpatient hospital setting.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC K56.609 Coding
K56.6

Small bowel obstruction, unspecified

Blockage in the small intestine, no specific cause identified.

K56.5

Intussusception

Part of the intestine slides into an adjacent part, causing blockage.

K56.0

Paralytic ileus

Temporary paralysis of the intestines, leading to obstruction.

K56.7

Ileus, unspecified

Disruption of normal bowel movement, unspecified cause.

Code-Specific Guidance

Decision Tree for

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

Is the small bowel obstruction due to a hernia?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Small bowel obstruction, unspecified
Small bowel obstruction, adhesions
Small bowel obstruction, hernia

Documentation Best Practices

Documentation Checklist
  • Document obstruction location in small bowel.
  • Specify symptoms (e.g., vomiting, pain, distension).
  • Note absence of specific obstruction cause.
  • Record imaging findings confirming obstruction.
  • Document bowel sounds and/or lack of passage.

Coding and Audit Risks

Common Risks
  • Unspecified Obstruction Site

    Lack of documentation specifying the exact location of the obstruction within the small bowel can lead to coding errors and claim denials.

  • Partial vs. Complete Obstruction

    Insufficient documentation to distinguish between partial and complete obstruction may result in inaccurate coding and affect reimbursement.

  • Cause of Obstruction Missing

    Failure to document the underlying cause of the small bowel obstruction hinders accurate coding and impacts quality reporting.

Mitigation Tips

Best Practices
  • Document specific SBO cause if known for accurate ICD-10 coding.
  • Query physician for SBO etiology to improve CDI & risk adjustment.
  • Ensure proper V codes for history of SBO to reflect patient complexity.
  • Review SBO documentation for completeness per payer guidelines for compliance.
  • Code SBO with associated complications for accurate reimbursement.

Clinical Decision Support

Checklist
  • Verify abdominal distension, nausea, vomiting documented.
  • Confirm imaging (CT, X-ray) supports SBO diagnosis.
  • Assess electrolyte imbalances, dehydration status.
  • Rule out other causes: hernia, volvulus, tumor.
  • Document pain location, quality, severity, duration.

Reimbursement and Quality Metrics

Impact Summary
  • Small Bowel Obstruction Unspecified reimbursement impacts coding accuracy, affecting DRG assignment and hospital payments.
  • Accurate ICD-10-CM diagnosis coding (K56.6) is crucial for appropriate Small Bowel Obstruction Unspecified reimbursement.
  • Quality metrics for Small Bowel Obstruction Unspecified include length of stay, complications, and readmission rates.
  • Timely diagnosis and treatment of Small Bowel Obstruction Unspecified impacts quality scores and hospital value-based purchasing.

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 unspecified SBO
  • Document obstruction location
  • R/O ischemia for accurate coding
  • Query physician if cause unclear
  • Note if partial or complete

Documentation Templates

Patient presents with symptoms consistent with small bowel obstruction unspecified.  Presenting complaints include abdominal pain, nausea, vomiting, and abdominal distension.  The onset of symptoms began [timeframe] and is characterized as [character of symptoms  e.g., cramping, intermittent, constant].  Patient reports [presence or absence] of bowel movements and flatus.  Past medical history includes [relevant medical history, e.g., prior abdominal surgery, Crohn's disease, history of adhesions].  Physical examination reveals [findings, e.g., tenderness to palpation in the [location], hyperactive or hypoactive bowel sounds, signs of dehydration].  Differential diagnosis includes ileus, partial small bowel obstruction, complete small bowel obstruction, and other causes of abdominal pain.  Initial laboratory studies ordered include complete blood count (CBC), comprehensive metabolic panel (CMP), and lactic acid.  Abdominal X-ray series including upright, supine, and chest X-ray ordered to evaluate for air-fluid levels, dilated bowel loops, and free air.  CT scan of the abdomen and pelvis with intravenous contrast may be considered for further evaluation.  Patient is currently being managed with bowel rest, intravenous fluids, nasogastric tube placement for decompression, and pain management.  The patient's clinical status will be closely monitored for improvement or the need for surgical intervention.  Diagnosis of small bowel obstruction unspecified is based on the current clinical presentation and will be further refined as additional diagnostic information becomes available.  ICD-10 code K56.6 will be utilized for billing and coding purposes.  This diagnosis is consistent with presenting signs and symptoms and warrants ongoing monitoring and treatment.
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