ICD-10 Coding for Ileostomy Reversal(0DBB0ZZ, K94.03)
Complete ICD-10-CM coding and documentation guide for Ileostomy Reversal. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Ileostomy Reversal
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| 0DBB0ZZ | Excision of Ileum, Open Approach | Use when ileostomy reversal involves resection of the ileum. |
|
| K94.03 | Ileostomy Complication | Use for documenting complications following ileostomy reversal. |
|
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 ileostomy reversal
Essential facts and insights about Ileostomy Reversal
Primary ICD-10-CM Codes for ileostomy reversal
Decision Criteria
clinical Criteria
- Presence of resected ileum in operative report
Applicable To
- Ileostomy takedown with resection
Excludes
- Simple closure without resection
Clinical Validation Requirements
- Operative report detailing resection
- Pathology report confirming excised tissue
Code-Specific Risks
- Misclassification as repair instead of excision
Coding Notes
- Ensure documentation specifies resection to avoid incorrect coding as repair.
K94.03 - Ileostomy Complication
Use for documenting complications following ileostomy reversal.
Applicable To
- Post-operative obstruction
- Infection
Excludes
- Non-complicated ileostomy reversal
Clinical Validation Requirements
- Clinical notes indicating complications
- Laboratory results showing infection markers
Coding Notes
Ensure complications are well-documented to support coding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Repair Abdominal Wall
0WQF0ZZDifferential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Repair of Ileum, Open Approach
0DQB3ZZDocumentation & Coding Risks
Avoid these common documentation and coding issues when documenting Ileostomy Reversal to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code 0DBB0ZZ.
Impact
Clinical: Inaccurate clinical record., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims.
Mitigation Strategy
Review operative notes before coding, Ensure all surgical steps are documented
Impact
Reimbursement: Incorrect DRG assignment, affecting payment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Verify operative notes for resection details.
Impact
Inadequate documentation leading to incorrect coding.
Mitigation Strategy
Regular audits and coder training.
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 Ileostomy Reversal, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Ileostomy Reversal
Use these documentation templates to ensure complete and accurate documentation for Ileostomy Reversal. These templates include all required elements for proper coding and billing.
Ileostomy Reversal with Resection
Specialty: General SurgeryRequired Elements
- Operative details
- Resection length
- Anastomosis technique
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Ileostomy Reversal? Ask your questions below.