ICD-10 Coding for History of Ulcerative Colitis(K51.90, Z86.19)
Complete ICD-10-CM coding and documentation guide for History of Ulcerative Colitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to History of Ulcerative Colitis
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| K51.90 | Ulcerative colitis, unspecified, without complications | Use when ulcerative colitis is in remission without surgery. |
|
| Z86.19 | Personal history of other diseases of the digestive system | Use when ulcerative colitis is resolved post-curative 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 history of ulcerative colitis
Essential facts and insights about History of Ulcerative Colitis
Primary ICD-10-CM Codes for history of ulcerative colitis
Decision Criteria
clinical Criteria
- Patient is asymptomatic and in remission
Applicable To
- Ulcerative colitis in remission
Excludes
- Crohn's disease (K50.-)
Clinical Validation Requirements
- Endoscopic evidence of mucosal healing
- No active symptoms
Code-Specific Risks
- Misclassification if active symptoms are present
Coding Notes
- Ensure documentation supports remission status.
Z86.19 - Personal history of other diseases of the digestive system
Use when ulcerative colitis is resolved post-curative surgery.
Applicable To
- History of ulcerative colitis post-curative surgery
Clinical Validation Requirements
- Documentation of total proctocolectomy
- No current symptoms or evidence of disease
Coding Notes
Ensure surgical history is documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Postprocedural intestinal obstruction
K91.3XDifferential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Crohn's disease, unspecified, without complications
K50.90Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting History of Ulcerative Colitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K51.90.
Impact
Clinical: Misrepresentation of patient's health status., Regulatory: Potential audit issues., Financial: Incorrect billing and reimbursement.
Mitigation Strategy
Verify surgical history before coding, Educate staff on documentation requirements
Impact
Reimbursement: May lead to incorrect DRG assignment and reimbursement issues., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate patient records and data reporting.
Mitigation Strategy
Ensure documentation of total proctocolectomy before using Z86.19.
Impact
Using Z86.19 without proper documentation of curative surgery.
Mitigation Strategy
Implement documentation checks for surgical history.
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 History of Ulcerative Colitis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for History of Ulcerative Colitis
Use these documentation templates to ensure complete and accurate documentation for History of Ulcerative Colitis. These templates include all required elements for proper coding and billing.
Post-surgical follow-up for ulcerative colitis
Specialty: GastroenterologyRequired Elements
- Surgical history
- Current symptoms
- Endoscopic findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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