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ICD 9 Epiploic Appendagitis

  1. #1
    Default ICD 9 Epiploic Appendagitis
    Medical Coding Books
    Having trouble finding what feels the best fit for "epiploic appendagitis" in the ICD-9 - what do other folks use?


  2. #2
    The only thing I can find is 751.5
    Anna Weaver, CPC, CPMA, CEMC
    Associate Auditor

  3. #3
    Smile The "itis"
    The "itis" leads to believe that it is not an anomaly. I think that 557.0 may be a better fit.

  4. #4
    Default ICD 9 Epiploic Appendagitis
    Epiploic appendagitis (EA), also known as appendicitis epiploica, hemorrhagic epiploitis, epiplopericolitis, or appendagitis, is a benign and self-limited condition
    Epiploic appendices are small, fat-filled sacs or finger-like projections along the surface of the lower colon and rectum. They may become acutely inflamed as a result of torsion
    And there is no specific code for Epiploic appendagitis (EA), So my suggesion
    is 569.89 Other specified disorder of intestine. but not sure.


  5. Smile Epiploic Appendagitis
    I also had to code EA and I coded it as 569.89. I think this is the best code for this condition. We cannot take 751.5 unless it is mentioned as congenital anomaly.


  6. #6
    International Member

    Please go thro' index of diseases....

    Appendage --> Intestine(epiploic) --> 751.5

    Epiploic appendagitis (EA) is an uncommon, benign, self-limiting inflammatory process of the epiploic appendices. Other, older terms for the process include appendicitis epiploica and appendagitis, but these terms are used less now in order to avoid confusion with acute appendicitis.

    Epiploic appendagitis does not require surgical or medical intervention. It is self-limiting. Pain can be treated with analgesics and subsides in about a week.

    Hope this helps!


  7. #7
    But again 751.5 refers to congenital anomalies, unless it is documented as congential, could we take it so?

    In point of ICD coding, I would prefer 569.89, other disorders of Intestine?

    Thank You,

    Purnima S, CPC

  8. Default
    I agree with a previous poster, 557.0
    Infarction of appendices epiploicae

    Epiploic appendagitis (EA), also known as appendicitis epiploica, hemorrhagic epiploitis, epiplopericolitis, or appendagitis, is a benign and self-limited condition of the epiploic appendages that occurs secondary to (torsion or spontaneous venous thrombosis of a draining vein)

    Causes of (infarction) - The supplying artery may be blocked by an obstruction (e.g. an arterial embolus, thrombus, or atherosclerotic plaque), may be mechanically compressed (e.g. tumor, volvulus, or hernia), ruptured by trauma (e.g. atherosclerosis or vasculitides), or vasoconstricted (e.g. cocaine vasoconstriction leading to myocardial infarction).

    Kristina Smith, CPC

  9. #9
    Default thanks!
    Thanks for your input everybody!

    In the future, I will probably look more towards the 569.89 than the 557.0, only as if it's not specified as to the *cause* of the epiploic appendagitis, I don't think I'm comfortable making the jump to the conclusion that it was due to some kind of vascular insufficiency.

    More than helpful! Thanks again,


  10. Default
    It should be569.89
    Nandha CPC

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