ICD 10 CM S36.511D | Description & Clinical Information

ICD 10 S36.511D describes a specific medical condition characterized by the primary blast injury of the transverse colon, which occurs when the tissue of the longest part of the large intestine that runs across the abdomen is damaged due to impact waves from an explosion, insufflation of too much air into the colon during endoscopy, intraabdominal gas explosions from the use of heat to burn away tissue or stop bleeding during surgery, or instillation of water under pressure into the anus, and this code is used for subsequent encounters for the injury.

Official Description Of S36.511D

The ICD 10 CM book defines ICD 10 code S36.511D as:

When To Use S36.511D

The diagnosis describes by ICD-10-CM code S36.511D pertains to a primary blast injury that affects the transverse colon, which is located horizontally in the upper part of the abdomen. This type of injury can result in multiple complications, including abdominal pain, bleeding and hematoma or a collection of blood outside of blood vessels, perforation, nausea and vomiting, rectal pain, sepsis, and ischemic bowel or the loss of blood supply to the colon and surrounding structures due to blood vessel damage.

To diagnose this condition, medical providers may rely on a combination of methods, such as assessing the patient’s medical history, performing a physical examination, and utilizing various imaging techniques. X-rays, computed tomography, and ultrasound may be performed to assess the extent of injuries on the internal organs. When necessary, laparoscopy, a surgical diagnostic procedure that utilizes small incisions, may be performed to examine the internal organs more closely. Additionally, diagnostic peritoneal lavage can identify signs of bleeding or food particles within the abdominal cavity.

Once a diagnosis has been made, treatment plans may vary depending on the severity of the injury. For example, it may include the administration of analgesics to manage pain and inflammation, anticoagulants to prevent blood clots, antibiotics to treat any infection present, or surgery to repair the injured part of the colon.

It is essential to note that while the transverse colon is a common location for blast injuries, these injuries can occur throughout the entire colon and other portions of the gastrointestinal tract. As such, providers may need to consider additional diagnoses and treatments, depending on the extent of the injuries sustained.

Overall, managing primary blast injuries of the transverse colon can be complicated due to the many potential complications that can arise. Prompt diagnosis and treatment are crucial to ensure that patients receive the best possible care to achieve an optimal outcome.