In the context of bowel ischemia in particular ischemic colitis, the splenic flexure is sometimes referred to as Griffith's point, along with the upper rectum ( Sudeck's point). The splenic flexure is a watershed region as it receives dual blood supply from the terminal branches of the superior mesenteric artery and the inferior mesenteric artery, thus making it prone to ischemic damage in cases of low blood pressure because it does not have its own primary source of blood. Splenic flexure syndrome is often found in those with irritable bowel syndrome (IBS), and is considered by some practitioners to be a type of IBS since it can also result from stress. Gas can build up at this flexure and give abdominal pain giving rise to a condition known as splenic flexure syndrome. The splenic flexure is the last and highest positioned flexure in the colon. It would not be appropriate to report Z86.010, personal history of colonic polyps because the title of this subcategory in ICD-10 is personal history of benign. The splenic flexure receives dual blood supply from the terminal branches of the superior mesenteric artery and the inferior mesenteric artery. The left colic flexure or splenic flexure (as it is close to the spleen) is the sharp bend between the transverse colon and the descending colon. It receives blood supply from the superior mesenteric artery. The hepatic flexure lies in the right upper quadrant of the human abdomen. ICD-10-PCS contains 16 sections Guidelines The ICD-10-PCS Draft Coding Guidelines (2011) appear on page 1923 of the ICD-10-PCS 2011 Code Book Three sections of Guidelines A. In addition, a corresponding ICD-10 code from the following list must accompany the billing of. The right colic flexure or hepatic flexure (as it is next to the liver) is the sharp bend between the ascending colon and the transverse colon.
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