ICD-10 Coding for Pneumatosis Intestinalis(K63.89)
Complete ICD-10-CM coding and documentation guide for Pneumatosis Intestinalis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Pneumatosis Intestinalis
K55-K64Primary Range
Other diseases of intestines
This range includes codes for various intestinal diseases, including pneumatosis intestinalis.
Key Information: ICD-10 code for pneumatosis intestinalis
Essential facts and insights about Pneumatosis Intestinalis
Primary ICD-10-CM Code for pneumatosis intestinalis
Decision Criteria
clinical Criteria
- Radiographic evidence of pneumatosis
documentation Criteria
- Linkage to underlying condition if present
Applicable To
- Idiopathic pneumatosis intestinalis
Excludes
- Noninfective gastroenteritis and colitis (K52.9)
Clinical Validation Requirements
- Radiographic confirmation of pneumatosis
- Documentation of associated symptoms or underlying conditions
Code-Specific Risks
- Misclassification as noninfective gastroenteritis (K52.9)
Coding Notes
- Ensure documentation specifies whether PI is primary or secondary to another condition.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Pneumatosis Intestinalis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K63.89.
Impact
Clinical: May lead to inappropriate treatment decisions., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims due to unspecified coding.
Mitigation Strategy
Ensure thorough clinical evaluation and documentation., Use queries to clarify unspecified conditions.
Impact
Reimbursement: Incorrect coding can lead to denied claims or reduced reimbursement., Compliance: Misclassification can result in non-compliance with coding standards., Data Quality: Impacts the accuracy of clinical data and patient records.
Mitigation Strategy
Ensure documentation specifies pneumatosis intestinalis and not general gastroenteritis.
Impact
Coding PI as primary when it is secondary to another condition.
Mitigation Strategy
Review clinical documentation to ensure correct sequencing.
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 Pneumatosis Intestinalis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Pneumatosis Intestinalis
Use these documentation templates to ensure complete and accurate documentation for Pneumatosis Intestinalis. These templates include all required elements for proper coding and billing.
Radiographic confirmation of pneumatosis
Specialty: RadiologyRequired Elements
- Imaging findings
- Pattern of pneumatosis
- Associated conditions
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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