Rectal prolapse

This code signifies the protrusion of the rectal wall through the anus. It can involve only the rectal mucosa (partial prolapse) or the full thickness of the rectal wall (complete prolapse). This condition often leads to discomfort, incontinence, and bleeding.

Use this code when documentation clearly states a diagnosis of rectal prolapse, regardless of its severity (partial or complete). This applies to both initial presentations and follow-up care for this specific condition. Supporting documentation would include physician notes detailing the physical examination findings and the diagnosis.

• Differentiate from hemorrhoids; while both involve anal protrusion, rectal prolapse is a distinct condition.
• Do not confuse with intussusception, which is telescoping of the bowel but typically not through the anus.
• Consider any associated complications, such as ulceration or strangulation, and code them separately if documented.