Neurogenic Bowel

Neurogenic bowel refers to loss of bowel function due to damage to the nervous system. It results from disruption of normal afferent activity to the bowel, resulting in impaired defecation. Neurogenic bowel is a major sequelae of spinal cord injury. It may also be seen in spina bifida patients. The condition may involve disruption of upper motor neuronal innervation or lower motor innervation. There is an increased likelihood of fecal impaction, and less frequently, adynamic ileus and volvulus with neurogenic bowel. Prevention of complications of neurogenic bowel include a balanced diet with plenty of liquids, fruit and vegetables to...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article discusses neurogenic bowel as a complication of nervous system damage and summarizes related prevention considerations. It also covers a coding change within functional digestive disorders, including the addition of a new diagnosis code and related category updates. The content is relevant to clinicians, coders, and billing professionals working with bowel dysfunction, spinal cord injury, and diagnosis coding updates.

Why This Topic Matters

Neurogenic bowel is a clinically important condition with implications for patient management and diagnosis reporting. The article also highlights a coding update that may affect how related bowel disorders are classified and documented.

Article Sections

  1. Overview of Neurogenic Bowel

    Introduces neurogenic bowel, its relationship to nervous system damage, and common clinical contexts in which it is seen. It also summarizes broad complication risks associated with the condition.

  2. Prevention of Complications

    Reviews general supportive measures discussed for reducing complications and supporting bowel management. The focus is on broad preventive care concepts rather than detailed treatment guidance.

  3. Coding Update: Functional Digestive Disorders

    Summarizes the diagnosis coding update presented in the article and the affected functional digestive disorders category. It identifies the scope of the code set change without reproducing code-specific explanations.

What You Will Learn

  • The clinical meaning of neurogenic bowel
  • Common neurologic conditions associated with neurogenic bowel
  • General prevention concepts related to bowel complications
  • The broad scope of the diagnosis coding update discussed in the article

Who Should Read This

  • Medical coders
  • Billing staff
  • Clinical documentation specialists
  • Physicians and advanced practice clinicians
  • Revenue cycle professionals

Codes Discussed

  • ICD-9-CM: 564.81
  • ICD-9-CM: 564.89

Code Ranges Discussed

  • ICD-9-CM: 564
  • ICD-9-CM: 564.8

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