ICD-10 Coding for Brunner's Gland Hyperplasia(D13.2)
Complete ICD-10-CM coding and documentation guide for Brunner's Gland Hyperplasia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Brunner's Gland Hyperplasia
D10-D36Primary Range
Benign neoplasms
This range includes benign neoplasms of the digestive system, under which Brunner's gland hyperplasia is classified.
Diseases of the digestive system
This range includes conditions that may be related to or affected by Brunner's gland hyperplasia, such as obstruction or bleeding.
Key Information: ICD-10 code for Brunner's gland hyperplasia
Essential facts and insights about Brunner's Gland Hyperplasia
Primary ICD-10-CM Code for brunner's gland hyperplasia
Decision Criteria
clinical Criteria
- Histological confirmation of Brunner's gland hyperplasia
documentation Criteria
- Document absence of dysplasia or malignancy
Applicable To
- Brunner's gland hyperplasia
Clinical Validation Requirements
- Histological confirmation of Brunner's gland hyperplasia
- Absence of dysplasia or malignancy
Code-Specific Risks
- Misclassification as hamartoma or adenoma without histological confirmation
Coding Notes
- Ensure histological confirmation to avoid misclassification.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Brunner's Gland Hyperplasia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D13.2.
Impact
Clinical: May lead to incorrect diagnosis and treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials due to lack of supporting documentation.
Mitigation Strategy
Ensure biopsy results are included in the medical record., Verify documentation before coding.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data recording.
Mitigation Strategy
Use K63.5 (Polyp of intestine) until histology confirms Brunner's gland hyperplasia.
Impact
Coding D13.2 without histological confirmation is a high audit risk.
Mitigation Strategy
Always require and document biopsy results before coding.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Brunner's Gland Hyperplasia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Brunner's Gland Hyperplasia
Use these documentation templates to ensure complete and accurate documentation for Brunner's Gland Hyperplasia. These templates include all required elements for proper coding and billing.
Gastroenterology Progress Note
Specialty: GastroenterologyRequired Elements
- Size and location of lesion
- Histology findings
- Presence or absence of dysplasia
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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