ICD-10 Coding for Hemicolectomy(0DTF0ZZ, 0DTF4ZZ)
Complete ICD-10-CM coding and documentation guide for Hemicolectomy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hemicolectomy
0DTF0ZZ-0DTF4ZZPrimary Range
ICD-10-PCS codes for resection of the large intestine
These codes cover the surgical resection of the right or left large intestine, including laparoscopic and open approaches.
Australian coding for laparoscopic division of abdominal adhesions
Used when adhesiolysis is performed during hemicolectomy.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| 0DTF0ZZ | Resection of right large intestine, open approach | Use for open resection of the right large intestine. |
|
| 0DTF4ZZ | Resection of right large intestine, percutaneous endoscopic approach | Use for laparoscopic resection of the right large intestine. |
|
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 laparoscopic hemicolectomy
Essential facts and insights about Hemicolectomy
Primary ICD-10-CM Codes for hemicolectomy
Decision Criteria
documentation Criteria
- Operative report must specify open approach.
Applicable To
- Open right hemicolectomy
Excludes
- Laparoscopic procedures
Clinical Validation Requirements
- Operative report specifying open approach
- Pathology report confirming resection of right large intestine
Code-Specific Risks
- Incorrectly coding laparoscopic procedures as open
Coding Notes
- Ensure documentation specifies the approach to avoid miscoding.
0DTF4ZZ - Resection of right large intestine, percutaneous endoscopic approach
Use for laparoscopic resection of the right large intestine.
Applicable To
- Laparoscopic right hemicolectomy
Excludes
- Open procedures
Clinical Validation Requirements
- Operative report specifying laparoscopic approach
- Pathology report confirming resection of right large intestine
Coding Notes
Ensure documentation specifies the approach to avoid miscoding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Laparoscopic division of abdominal adhesions
30393-00Differential 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 Hemicolectomy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code 0DTF0ZZ.
Impact
Clinical: Incomplete cancer staging information., Regulatory: Non-compliance with cancer treatment guidelines., Financial: Potential impact on reimbursement for cancer-related procedures.
Mitigation Strategy
Ensure pathology reports include lymph node status., Cross-verify operative and pathology reports.
Impact
Reimbursement: Incorrect coding can lead to improper DRG assignment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Ensure operative report specifies whether the procedure was open or laparoscopic.
Impact
Failure to document the surgical approach can lead to audit discrepancies.
Mitigation Strategy
Implement a checklist for operative reports to ensure all elements are documented.
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 Hemicolectomy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hemicolectomy
Use these documentation templates to ensure complete and accurate documentation for Hemicolectomy. These templates include all required elements for proper coding and billing.
Laparoscopic Right Hemicolectomy
Specialty: General SurgeryRequired Elements
- Procedure name and approach
- Indication for surgery
- Operative findings
- Details of resection and anastomosis
- Lymph node retrieval and status
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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