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ICD-10 Coding for Gastric Volvulus(K56.2)

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

Also known as:

Stomach TorsionGastric Torsion

Related ICD-10 Code Ranges

Complete code families applicable to Gastric Volvulus

K56-K56.2Primary Range

Paralytic ileus and intestinal obstruction without hernia

This range includes codes for volvulus, specifically K56.2 for gastric volvulus.

Key Information: ICD-10 code for gastric volvulus

Essential facts and insights about Gastric Volvulus

The ICD-10 code for gastric volvulus is K56.2, covering all types of gastric volvulus.

Primary ICD-10-CM Code for gastric volvulus

Volvulus
Billable Code

Decision Criteria

clinical Criteria

  • Presence of Borchardt's triad symptoms

documentation Criteria

  • CT imaging showing >180° rotation

Applicable To

  • Gastric volvulus
  • Intestinal volvulus

Excludes

  • Intestinal obstruction NOS (K56.60)

Clinical Validation Requirements

  • CT confirmation of >180° gastric rotation
  • Obstruction at the esophagogastric junction and pylorus

Code-Specific Risks

  • Incorrectly coding as intestinal obstruction
  • Missing documentation of rotation degree

Coding Notes

  • Ensure documentation specifies gastric involvement to avoid confusion with intestinal volvulus.

Ancillary Codes

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

Congenital diaphragmatic hernia

Q40.1
Use when a congenital diaphragmatic defect is documented.

Differential Codes

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

Gastric outlet obstruction

K31.1
Absence of gastric rotation on imaging.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Gastric Volvulus to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K56.2.

Impact

Clinical: May lead to inappropriate treatment decisions., Regulatory: Potential non-compliance with coding standards., Financial: Risk of claim denials or reduced reimbursement.

Mitigation Strategy

Ensure thorough documentation of obstruction in clinical notes., Verify imaging reports for obstruction details.

Impact

Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Always use K56.2 when stomach involvement is documented.

Impact

Lack of detailed documentation can lead to audit flags.

Mitigation Strategy

Implement thorough documentation practices.

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 Gastric Volvulus, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Gastric Volvulus

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

Acute Gastric Volvulus in Emergency Department

Specialty: Emergency Medicine

Required Elements

  • Patient history
  • Borchardt's triad symptoms
  • Imaging findings
  • Treatment plan

Example Documentation

Patient presents with acute epigastric pain, retching, and inability to pass NG tube. CT shows 210° organoaxial rotation.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Stomach torsion noted.
Good Documentation Example
Acute organoaxial gastric volvulus (220° rotation) with failed NG tube placement.
Explanation
The good example specifies type and degree of rotation, enhancing clarity and coding accuracy.

Need help with ICD-10 coding for Gastric Volvulus? Ask your questions below.

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