Crohn's disease of small intestine w intestinal obstruction

This code signifies Crohn's disease specifically affecting the small intestine, complicated by an intestinal obstruction. This represents an inflammatory bowel disease with a significant acute complication requiring medical or surgical intervention.

Apply this code when documentation clearly indicates Crohn's disease localized to the small bowel, and the patient is experiencing symptoms and signs of an intestinal obstruction (e.g., abdominal pain, distension, vomiting, inability to pass stool/flatus). Supporting documentation should include physician notes detailing the diagnosis of Crohn's, the anatomical site, and the presence of obstruction confirmed by imaging or clinical findings.

• Ensure the documentation specifies "small intestine" for Crohn's disease; otherwise, a more general code for Crohn's with obstruction may be appropriate.
• Do not use this code if the obstruction is due to a cause other than Crohn's disease, even if the patient has Crohn's.
• Consider sequencing this code as the primary diagnosis if the obstruction is the reason for the encounter, followed by codes for specific manifestations of the obstruction if applicable.