ICD-10 Coding for Terminal Ileitis(K50.01, K50.00)
Complete ICD-10-CM coding and documentation guide for Terminal Ileitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Terminal Ileitis
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| K50.01 | Crohn's disease of small intestine with complications | Use when terminal ileitis is due to Crohn's disease with complications like strictures or fistulas. |
|
| K50.00 | Crohn's disease of small intestine without complications | Use when terminal ileitis is due to Crohn's disease without any complications. |
|
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 terminal ileitis
Essential facts and insights about Terminal Ileitis
Primary ICD-10-CM Codes for terminal ileitis
Decision Criteria
clinical Criteria
- Presence of strictures or fistulas in terminal ileum
Applicable To
- Terminal ileitis with strictures
- Fistulizing disease
Excludes
- Infectious enteritis (A04.6)
Clinical Validation Requirements
- Biopsy showing non-caseating granulomas
- Imaging showing strictures or fistulas
Code-Specific Risks
- Misclassification if complications are not documented
Coding Notes
- Ensure documentation specifies Crohn's disease and any complications.
K50.00 - Crohn's disease of small intestine without complications
Use when terminal ileitis is due to Crohn's disease without any complications.
Applicable To
- Simple inflammation of terminal ileum
Excludes
- Complicated Crohn's disease (K50.01)
Clinical Validation Requirements
- Biopsy confirming inflammation without complications
Coding Notes
Ensure documentation clearly states absence of complications.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Other specified intestinal obstruction
K56.699Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Terminal Ileitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K50.01.
Impact
Clinical: Misrepresentation of disease severity, Regulatory: Non-compliance with coding standards, Financial: Potential loss of reimbursement
Mitigation Strategy
Use structured templates for documentation, Regular training on documentation standards
Impact
Reimbursement: Potential underpayment due to lower DRG assignment, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate clinical data representation
Mitigation Strategy
Query the physician to specify the presence of complications.
Impact
High risk of audit if complications are not documented but coded as unspecified.
Mitigation Strategy
Implement mandatory queries for unspecified Crohn's diagnoses.
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 Terminal Ileitis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Terminal Ileitis
Use these documentation templates to ensure complete and accurate documentation for Terminal Ileitis. These templates include all required elements for proper coding and billing.
Gastroenterology Progress Note
Specialty: GastroenterologyRequired Elements
- Location of inflammation
- Endoscopic findings
- Biopsy results
- Complications
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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