Dvtrcli of sm int w perforation and abscess w bleeding

This code signifies an inflammatory condition affecting the small intestine, characterized by the presence of diverticula that have become inflamed, leading to a rupture (perforation) and the formation of a localized collection of pus (abscess). Crucially, this specific diagnosis also indicates active hemorrhage associated with these complications.

This code is appropriate for patients diagnosed with small intestinal diverticulitis complicated by both perforation and abscess formation, where there is documented evidence of bleeding. Documentation should clearly specify the small intestine as the affected site, confirm the presence of both perforation and abscess, and note active bleeding (e.g., melena, hematochezia, or endoscopic findings of hemorrhage).

• Ensure documentation explicitly states "small intestine" as the location; otherwise, consider codes for diverticulitis of the large intestine.
• Verify that both "perforation" and "abscess" are present and documented, in addition to "bleeding."
• Do not use this code if only one or two of the complications (perforation, abscess, bleeding) are present; more specific codes exist for those scenarios.