ICD-10 Coding for Small Bowel Resection(0DT80ZZ)
Complete ICD-10-CM coding and documentation guide for Small Bowel Resection. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Small Bowel Resection
0DT80ZZ-0DT90ZZPrimary Range
ICD-10-PCS codes for small bowel resection procedures
This range includes codes for different approaches to small bowel resection, such as open and laparoscopic.
Key Information: ICD-10 code for small bowel resection
Essential facts and insights about Small Bowel Resection
Primary ICD-10-CM Code for small bowel resection
Decision Criteria
clinical Criteria
- Full-thickness removal of a bowel segment
documentation Criteria
- Operative note must specify 'open approach'
Applicable To
- Complete removal of a segment of the small intestine
Excludes
- Partial excision of small intestine
Clinical Validation Requirements
- Operative report confirming open approach
- Documentation of full-thickness resection
Code-Specific Risks
- Confusion with excision codes if documentation is unclear
Coding Notes
- Ensure documentation specifies the approach and extent of resection.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Add-on code for additional resections
44121Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Excision of small intestine, open approach
0DB80ZZDocumentation & Coding Risks
Avoid these common documentation and coding issues when documenting Small Bowel Resection to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code 0DT80ZZ.
Impact
Clinical: Leads to inaccurate clinical records., Regulatory: May result in audit failures., Financial: Potential for denied claims.
Mitigation Strategy
Use detailed operative notes, Educate surgical teams on documentation standards
Impact
Reimbursement: Incorrect coding can lead to reduced reimbursement., Compliance: May result in compliance issues during audits., Data Quality: Affects the accuracy of clinical data.
Mitigation Strategy
Ensure documentation specifies full-thickness resection for coding as resection.
Impact
Lack of clear documentation on surgical approach can lead to audit issues.
Mitigation Strategy
Ensure operative reports are detailed and specify the approach.
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 Small Bowel Resection, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Small Bowel Resection
Use these documentation templates to ensure complete and accurate documentation for Small Bowel Resection. These templates include all required elements for proper coding and billing.
Open small bowel resection
Specialty: General SurgeryRequired Elements
- Approach
- Resected segment
- Anastomosis details
- Complications
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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