ICD-10 Coding for Dumping Syndrome(K91.1, Z98.84)
Complete ICD-10-CM coding and documentation guide for Dumping Syndrome. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Dumping Syndrome
K90-K95Primary Range
Other diseases of the digestive system
This range includes conditions related to post-surgical complications of the digestive system, including dumping syndrome.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| K91.1 | Postgastric surgery syndromes | Use when documenting dumping syndrome following gastric surgery. |
|
| Z98.84 | Bariatric surgery status | Use as a primary code when documenting a history of bariatric surgery. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for dumping syndrome
Essential facts and insights about Dumping Syndrome
Primary ICD-10-CM Codes for dumping syndrome
Decision Criteria
clinical Criteria
- Symptoms occur within 30 minutes to 3 hours after eating.
documentation Criteria
- Document specific symptoms and test results such as glucose levels and heart rate changes.
Applicable To
- Dumping syndrome
Excludes
- Postprocedural intestinal obstruction (K91.3)
Clinical Validation Requirements
- Sigstad score ≥7
- Postprandial tachycardia ≥10 BPM increase
- Reactive hypoglycemia <70 mg/dL 2h post-meal
Code-Specific Risks
- Incorrect sequencing with Z98.84
- Lack of specific symptom documentation
Coding Notes
- Ensure proper sequencing with Z98.84 for post-bariatric surgery cases.
Z98.84 - Bariatric surgery status
Use as a primary code when documenting a history of bariatric surgery.
Clinical Validation Requirements
- History of bariatric surgery documented
Coding Notes
Always sequence before K91.1 when applicable.
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.
Hypoglycemia, unspecified
E16.2Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Dumping Syndrome to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K91.1.
Impact
Clinical: Inadequate information for diagnosis., Regulatory: Potential for audit issues., Financial: Denied claims due to lack of specificity.
Mitigation Strategy
Use specific terms like 'postprandial tachycardia'., Document exact timing of symptoms.
Impact
Reimbursement: Incorrect sequencing can lead to denied claims., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate patient records and data reporting.
Mitigation Strategy
Always sequence Z98.84 before K91.1 for post-bariatric surgery cases.
Impact
Incorrect sequencing of post-surgical codes.
Mitigation Strategy
Educate staff on proper sequencing rules.
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 Dumping Syndrome, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Dumping Syndrome
Use these documentation templates to ensure complete and accurate documentation for Dumping Syndrome. These templates include all required elements for proper coding and billing.
Post-surgical follow-up for dumping syndrome
Specialty: GastroenterologyRequired Elements
- Chief complaint
- Surgical history
- Objective findings
- Assessment
- Plan
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Dumping Syndrome? Ask your questions below.