Dvtrcli of lg int w perforation and abscess w bleeding

This code signifies an acute inflammation of diverticula in the large intestine, complicated by both a perforation (a hole in the bowel wall) and an abscess (a collection of pus), in addition to active bleeding. It represents a severe form of diverticular disease requiring urgent medical or surgical intervention.

This code is appropriate for patients presenting with symptoms such as severe abdominal pain, fever, peritonitis, and signs of gastrointestinal bleeding, where imaging (e.g., CT scan) confirms diverticulitis with perforation and abscess formation, and endoscopic or surgical findings confirm active bleeding. Documentation must clearly specify the presence of all three complications: perforation, abscess, and hemorrhage.

• Ensure documentation explicitly states "with perforation," "with abscess," and "with bleeding" to support this specific code.
• Do not use this code if only two of the three complications (perforation, abscess, bleeding) are present; instead, select the appropriate code for the documented complications.
• Sequence this code as the primary diagnosis when it is the reason for the encounter, followed by any associated conditions or manifestations.