ICD-10 Coding for Spontaneous Bacterial Peritonitis(K65.2)
Complete ICD-10-CM coding and documentation guide for Spontaneous Bacterial Peritonitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Spontaneous Bacterial Peritonitis
K65-K68Primary Range
Diseases of peritoneum and retroperitoneum
This range includes codes for peritonitis, including spontaneous bacterial peritonitis.
Key Information: ICD-10 code for spontaneous bacterial peritonitis
Essential facts and insights about Spontaneous Bacterial Peritonitis
Primary ICD-10-CM Code for spontaneous bacterial peritonitis
Decision Criteria
clinical Criteria
- Ascitic fluid neutrophil count >250 cells/mm³
documentation Criteria
- Explicit mention of 'spontaneous bacterial peritonitis'
Applicable To
- Spontaneous bacterial peritonitis
Excludes
- Bacterial peritonitis NOS (K65.9)
Clinical Validation Requirements
- Ascitic fluid neutrophil count >250 cells/mm³
- Positive ascitic fluid culture
Code-Specific Risks
- Confusion with secondary peritonitis if documentation is not specific.
Coding Notes
- Ensure documentation specifies 'spontaneous' and includes lab results.
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 Spontaneous Bacterial Peritonitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K65.2.
Impact
Clinical: Misrepresentation of patient condition., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Verify documentation specifies 'spontaneous'., Review lab results for supporting evidence.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure documentation explicitly states 'spontaneous bacterial peritonitis'.
Impact
Lack of specificity in documentation can lead to incorrect coding.
Mitigation Strategy
Ensure documentation explicitly states 'spontaneous bacterial peritonitis'.
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 Spontaneous Bacterial Peritonitis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Spontaneous Bacterial Peritonitis
Use these documentation templates to ensure complete and accurate documentation for Spontaneous Bacterial Peritonitis. These templates include all required elements for proper coding and billing.
Gastroenterology Progress Note
Specialty: GastroenterologyRequired Elements
- Diagnosis of spontaneous bacterial peritonitis
- Ascitic fluid analysis results
- Causative organism if identified
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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