ICD-10 Coding for Food Bolus Impaction(T18.128A, K22.2)
Complete ICD-10-CM coding and documentation guide for Food Bolus Impaction. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Food Bolus Impaction
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| T18.128A | Food in esophagus causing other injury, initial encounter | Use when a food bolus is causing injury in the esophagus during the initial encounter. |
|
| K22.2 | Esophageal obstruction | Use when a chronic stricture is identified as the cause of the food bolus impaction. |
|
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 food bolus impaction
Essential facts and insights about Food Bolus Impaction
Primary ICD-10-CM Codes for food bolus
Decision Criteria
clinical Criteria
- Presence of esophageal injury due to food bolus
documentation Criteria
- Detailed endoscopic report confirming injury
Applicable To
- Food bolus impaction with injury
Excludes
- Foreign body in pharynx (T17.2-)
Clinical Validation Requirements
- Endoscopic findings of food bolus in esophagus
- Documentation of injury caused by the bolus
Code-Specific Risks
- Ensure documentation specifies the encounter type to avoid denials.
Coding Notes
- Ensure that the documentation supports the use of an injury-related code.
K22.2 - Esophageal obstruction
Use when a chronic stricture is identified as the cause of the food bolus impaction.
Applicable To
- Esophageal stricture
Excludes
- Esophageal spasm (K22.4)
Clinical Validation Requirements
- Endoscopic confirmation of esophageal stricture
Coding Notes
Sequence this code first if the stricture is the primary cause.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Foreign body entering through natural orifice
W44.2XXADifferential 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 Food Bolus Impaction to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code T18.128A.
Impact
Clinical: Leads to vague clinical data., Regulatory: Non-compliance with specificity requirements., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Ensure detailed documentation of findings, Use specific codes whenever possible
Impact
Reimbursement: May lead to claim denials or reduced payment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on injury causes.
Mitigation Strategy
Always include W44.2XXA for foreign body entry.
Impact
Lack of detailed endoscopic findings can lead to audit issues.
Mitigation Strategy
Implement comprehensive documentation templates.
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 Food Bolus Impaction, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Food Bolus Impaction
Use these documentation templates to ensure complete and accurate documentation for Food Bolus Impaction. These templates include all required elements for proper coding and billing.
Endoscopic removal of food bolus
Specialty: GastroenterologyRequired Elements
- Procedure performed
- Findings during endoscopy
- Method of removal
- Complications, if any
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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