Coding experts Alicia and Laureen from CCO review the new 2025 ICD-10-CM code changes.
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DB34 Certain vascular disorders of large intestine International Classification of Diseases for Mortality and Morbidity Statistics, 11th Revision, v2024-01 The whole large intestine receives its blood supply from colonic branches of the superior mesenteric artery and the inferior mesenteric artery, and the venous drainage is through the portal system via the superior and inferior mesenteric vein. Vascular disorders includes lesions in these vessels and capillary.
exclusions code elsewhere sections/codes in this section (DB34-DB34) postcoordination Add Stem and/or Extension codes to form a cluster code which adds detail to the condition.
Specific anatomy - multiple selections are allowed [select] XA6J68 Caecum – XA3AL5 Ascending colon – XA95L3 Hepatic flexure of colon – XA49U1 Transverse colon – XA1PY9 Splenic flexure of colon – XA2G13 Descending colon – XA8YJ9 Sigmoid colon – XA33J5 Rectosigmoid junction – XA7177 Descending colon and splenic flexure of colon – XA25P9 Ascending colon and right flexure of colon XA4KU2 Rectum XA0D34 Anus XA8QB7 Cloacogenic zone Has manifestation - multiple selections are allowed [select] ME24 Clinical manifestations of the digestive system – ME24.0 Digestive system abscess – ME24.1 Digestive system fistula – ME24.2 Digestive system obstruction – ME24.3 Digestive system perforation – ME24.4 Digestive system stenosis – ME24.5 Digestive system ulcer – ME24.6 Digestive system dilatation – ME24.7 Digestive system incarceration – ME24.8 Digestive system strangulation or gangrene – ME24.9 Gastrointestinal bleeding – ME24.A Other digestive system haemorrhage, not elsewhere classified – ME24.Y Other specified clinical manifestations of the digestive system –– ME24.30 Perforation of small intestine –– ME24.31 Perforation of large intestine –– ME24.35 Perforation of gallbladder or bile ducts –– ME24.3Y Digestive system perforation of other specified site –– ME24.3Z Digestive system perforation of unspecified site –– ME24.90 Acute gastrointestinal bleeding, not elsewhere classified –– ME24.91 Chronic gastrointestinal bleeding, not elsewhere classified –– ME24.9Z Gastrointestinal bleeding, unspecified –– ME24.A0 Obscure gastrointestinal bleeding –– ME24.A1 Haemorrhage of anus and rectum –– ME24.A2 Oesophageal haemorrhage –– ME24.A3 Haematochezia –– ME24.A4 Melaena –– ME24.A5 Haematemesis –– ME24.A6 Positive occult blood in stool
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