Code K59.8, Other specified functional intestinal disorders, has been expanded with new codes to describe Ogilvie syndrome (K59.81) and other specified functional intestinal disorders (K59.89).
Ogilvie syndrome, also referred to as acute colonic ileus and acute colonic pseudo-obstruction (ACPO), is an uncommon condition that affects the large intestines. Ogilvie syndrome is not the same as chronic intestinal pseudo-obstruction.
The syndrome is due to nerve or muscle problems that affect peristalsis (involuntary, rhythmic muscular contractions) within the colon. Although the symptoms mimic those of mechanical blockage of the colon, no such physical obstruction is present. Symptoms of Ogilvie syndrome are similar to other forms of intestinal pseudo-obstruction and can involve nausea and vomiting, abdominal pain, diarrhea, and constipation. Distention of the colon can be life threatening, leading to perforation of the colon and lack of blood flow to the colon. If untreated, this syndrome can result in malnutrition, bacterial overgrowth in the colon, and weight loss.
The underlying etiology of Ogilvie syndrome is not known. However, it is typically seen in adults after surgery when the colon becomes enlarged and following illness or injury. Treatment options include supportive care that addresses associated symptoms, medications, decompression, and surgery.
AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2020 Issue 4; New/Revised ICD-10-CM Codes
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