Crohn's disease of small intestine without complications

This code signifies Crohn's disease specifically affecting the small intestine, without any documented complications such as obstruction, fistula, abscess, or hemorrhage. It represents an active or quiescent inflammatory bowel disease limited to the small bowel.

Apply this code when documentation explicitly states Crohn's disease confined to the small intestine and there is no mention of associated complications. This is appropriate for initial diagnoses or follow-up visits where the disease remains uncomplicated. Supporting documentation includes endoscopy reports, pathology findings, and physician notes confirming small bowel involvement without complications.

• Always review documentation for any mention of complications; if present, a more specific code is required.
• Do not use this code if the Crohn's disease affects other sites (e.g., large intestine, both small and large intestine) or is unspecified.
• Ensure the physician's documentation clearly specifies "without complications" or explicitly lists the absence of common complications.