ICD-10 Coding for Peanut Allergy(T78.01XA, Z91.010)
Complete ICD-10-CM coding and documentation guide for Peanut Allergy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Peanut Allergy
T78.0-T78.1Primary Range
Anaphylactic and other adverse reactions
Covers anaphylactic reactions due to peanuts, including initial and subsequent encounters.
Personal history of allergy to food, drugs, and biological substances
Used for documenting allergy status without an active reaction.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| T78.01XA | Anaphylactic reaction due to peanuts, initial encounter | Use for initial treatment of anaphylactic reaction due to peanuts. |
|
| Z91.010 | Peanut allergy status | Use for documenting known peanut allergy without current reaction. |
|
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 peanut allergy
Essential facts and insights about Peanut Allergy
Primary ICD-10-CM Codes for peanut allergy
Decision Criteria
clinical Criteria
- Presence of systemic symptoms and treatment with epinephrine
Applicable To
- Initial treatment for peanut-induced anaphylaxis
Excludes
- Non-anaphylactic reactions
Clinical Validation Requirements
- Documented systemic involvement such as bronchospasm or hypotension
- Treatment with epinephrine
Code-Specific Risks
- Incorrect sequencing can affect reimbursement.
Coding Notes
- Ensure documentation supports the severity and treatment of the reaction.
Z91.010 - Peanut allergy status
Use for documenting known peanut allergy without current reaction.
Applicable To
- History of peanut allergy
Excludes
- Active anaphylactic reaction
Clinical Validation Requirements
- Documented allergy testing results
- History of reaction
Coding Notes
Use in conjunction with codes for active reactions when applicable.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Peanut allergy status
Z91.010Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Urticaria
L50.0Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Peanut Allergy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code T78.01XA.
Impact
Clinical: May lead to inappropriate treatment plans., Regulatory: Non-compliance with documentation standards., Financial: Potential for claim denials.
Mitigation Strategy
Specify the allergen and confirmatory tests., Use structured EHR fields for allergens.
Impact
Reimbursement: Incorrect sequencing can lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate representation of patient condition.
Mitigation Strategy
Sequence T78.01XA first for acute reactions.
Impact
Using Z91.010 as a principal diagnosis for acute reactions.
Mitigation Strategy
Educate staff on proper sequencing rules.
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 Peanut Allergy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Peanut Allergy
Use these documentation templates to ensure complete and accurate documentation for Peanut Allergy. These templates include all required elements for proper coding and billing.
Acute Anaphylactic Reaction
Specialty: Allergy and ImmunologyRequired Elements
- Reaction details
- Treatment administered
- Allergy history
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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