ICD-10 Coding for Right Below-Knee Amputation (BKA)(Z89.511, E11.51)
Complete ICD-10-CM coding and documentation guide for Right Below-Knee Amputation (BKA). Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Right Below-Knee Amputation (BKA)
Z89.5Primary Range
Acquired absence of leg
This range includes codes for acquired absence of leg, specifying laterality and level of amputation.
Type 2 diabetes mellitus with circulatory complications
Relevant for cases where diabetes is an underlying cause of the amputation.
Atherosclerosis of native arteries of the extremities
Used when peripheral artery disease is a contributing factor to the amputation.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| Z89.511 | Acquired absence of right leg below knee | Use for patients with a history of right below-knee amputation without active complications. |
|
| E11.51 | Type 2 diabetes mellitus with diabetic peripheral angiopathy | Use when diabetes is a contributing factor to the amputation. |
|
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 right BKA
Essential facts and insights about Right Below-Knee Amputation (BKA)
Primary ICD-10-CM Codes for right bka
Decision Criteria
clinical Criteria
- Patient has a documented history of right below-knee amputation.
coding Criteria
- Code is used for status post-amputation, not for initial treatment.
Applicable To
- Right below-knee amputation
Excludes
- Congenital absence of limb (Q72.-)
Clinical Validation Requirements
- Documented history of right below-knee amputation
- Clinical notes specifying laterality and level of amputation
Code-Specific Risks
- Incorrect use for congenital absence
- Omission of underlying cause documentation
Coding Notes
- Ensure documentation specifies the cause of amputation and any prosthetic use.
E11.51 - Type 2 diabetes mellitus with diabetic peripheral angiopathy
Use when diabetes is a contributing factor to the amputation.
Applicable To
- Diabetic peripheral vascular disease
Excludes
- Diabetic neuropathy (E11.40)
Clinical Validation Requirements
- A1c levels indicating diabetes
- Clinical notes on diabetic complications
Coding Notes
Ensure diabetes is documented as a contributing factor.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Presence of artificial right leg
Z97.13Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Traumatic amputation of right lower leg, initial encounter
S88.911ADocumentation & Coding Risks
Avoid these common documentation and coding issues when documenting Right Below-Knee Amputation (BKA) to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z89.511.
Impact
Clinical: Incomplete patient history., Regulatory: Potential audit issues., Financial: Denied claims due to insufficient documentation.
Mitigation Strategy
Always document the underlying cause of amputation.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records.
Mitigation Strategy
Use Q72.- codes for congenital absence.
Impact
Failure to document the cause of amputation can lead to audits.
Mitigation Strategy
Ensure all clinical notes include the cause and status of the amputation.
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 Right Below-Knee Amputation (BKA), with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Right Below-Knee Amputation (BKA)
Use these documentation templates to ensure complete and accurate documentation for Right Below-Knee Amputation (BKA). These templates include all required elements for proper coding and billing.
Post-Amputation Follow-Up
Specialty: OrthopedicsRequired Elements
- History of amputation
- Cause of amputation
- Current status of residual limb
- Prosthetic use and complications
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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