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Necrotizing enterocolitis (NEC) is a serious intestinal illness in babies. Necrotizing means damage and death of cells. Entero refers to the intestine. Colitis means inflammation of the colon (lower part of the intestine). Although NEC may develop in any newborn, most cases occur in premature babies and in up to 5 percent of babies in newborn intensive care units.
NEC is the equivalent to using an other code selection and NOS is the equivalent to using an unspecified code selection. Think of NEC as the code set's fault: The physician provides specific findings but the ICD-9-CM code set does not list a specific code that describes the diagnosis. On the other hand consider NOS the physician's fault: The documentation does not provide enough information to assign a more specific diagnosis code. NEC codes are frequently highlighted in gray in the ICD-9 manual and NOS codes are usually highlighted in yellow. An example of when you would use an NEC code: The physician specifies spinal nerve root compression. You look in the 724.x category - Other and unspecified disorders of back - for the appropriate code.