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ICD-10 Coding for Erythematous Duodenopathy(K29.8, K31.89)

Complete ICD-10-CM coding and documentation guide for Erythematous Duodenopathy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Duodenal ErythemaErythematous Duodenitis

Related ICD-10 Code Ranges

Complete code families applicable to Erythematous Duodenopathy

K29-K31Primary Range

Diseases of the stomach, duodenum, and other parts of the digestive system

This range includes codes for duodenitis and other diseases of the stomach and duodenum, relevant for coding erythematous duodenopathy.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
K29.8DuodenitisUse when there is biopsy-confirmed inflammation in the duodenum.
  • Biopsy-confirmed inflammation
  • Presence of neutrophils or lymphocytes
K31.89Other diseases of stomach and duodenumUse for erythema without histologic evidence of inflammation.
  • Biopsy shows normal villous architecture
  • No acute inflammation

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 erythematous duodenopathy

Essential facts and insights about Erythematous Duodenopathy

The ICD-10 code for erythematous duodenopathy with confirmed inflammation is K29.8. For non-inflammatory erythema, use K31.89.

Primary ICD-10-CM Codes for erythematous duodenopathy

Duodenitis
Non-billable Code

Decision Criteria

clinical Criteria

  • Biopsy shows inflammation with neutrophils or lymphocytes.

coding Criteria

  • Do not use if only erythema is present without inflammation.

Applicable To

  • Erosive duodenitis
  • Inflammatory duodenitis

Excludes

Clinical Validation Requirements

  • Biopsy-confirmed inflammation
  • Presence of neutrophils or lymphocytes

Code-Specific Risks

  • Incorrectly using for non-inflammatory erythema

Coding Notes

  • Ensure histologic confirmation of inflammation before using this code.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Helicobacter pylori as the cause of diseases classified elsewhere

B96.81
Use if H. pylori infection is confirmed.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Other diseases of stomach and duodenum

K31.89
Use for non-inflammatory mucosal changes without histologic inflammation.

Duodenitis

K29.8
Use when inflammation is confirmed by biopsy.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Erythematous Duodenopathy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K29.8.

Impact

Clinical: May lead to misdiagnosis., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.

Mitigation Strategy

Always correlate visual findings with biopsy results., Ensure documentation is specific and detailed.

Impact

Reimbursement: Incorrect DRG assignment may affect reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Verify biopsy results for inflammation before coding.

Impact

Failure to confirm inflammation histologically before coding.

Mitigation Strategy

Require biopsy results before finalizing codes.

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 Erythematous Duodenopathy, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Erythematous Duodenopathy

Use these documentation templates to ensure complete and accurate documentation for Erythematous Duodenopathy. These templates include all required elements for proper coding and billing.

Confirmed Duodenitis

Specialty: Gastroenterology

Required Elements

  • EGD findings
  • Biopsy results
  • Presence of inflammation

Example Documentation

EGD reveals erythematous, friable mucosa in the duodenal bulb. Biopsies show villous blunting, intraepithelial lymphocytes (IELs >25/100 enterocytes), and crypt hyperplasia. No H. pylori identified.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Duodenum looks red. Biopsies taken.
Good Documentation Example
Second portion of duodenum demonstrates linear erythema with mucosal friability. Biopsies show: Villous:crypt ratio 1:1 (normal 3:1-5:1), IELs 40/100 enterocytes, Negative for H. pylori (Giemsa stain).
Explanation
The good example provides specific biopsy findings and confirms the absence of H. pylori, supporting the diagnosis.

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