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ICD-10 Coding for Angioectasia(K55.21, K31.811, K63.811)

Complete ICD-10-CM coding and documentation guide for Angioectasia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

AngiodysplasiaVascular Ectasia

Related ICD-10 Code Ranges

Complete code families applicable to Angioectasia

K55-K64Primary Range

Diseases of the intestines

This range includes codes for intestinal angioectasia, specifying location and bleeding status.

Diseases of stomach and duodenum

This range includes codes for angioectasia in the stomach and duodenum.

Other diseases of intestines

This range includes codes for small intestine angioectasia.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
K55.21Angiodysplasia of colon with hemorrhageUse when there is documented bleeding from colonic angioectasia.
  • Documentation of active bleeding from colonic angioectasia
K31.811Angiodysplasia of stomach and duodenum with hemorrhageUse when there is documented bleeding from gastric or duodenal angioectasia.
  • Endoscopic evidence of bleeding from gastric angioectasia
K63.811Angiodysplasia of small intestine with hemorrhageUse when there is documented bleeding from small intestine angioectasia.
  • Capsule endoscopy showing bleeding from small intestine angioectasia

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 angioectasia with bleeding

Essential facts and insights about Angioectasia

The ICD-10 code for angioectasia with bleeding is K55.21 for colon, K31.811 for stomach/duodenum, and K63.811 for small intestine.

Primary ICD-10-CM Codes for angioectasia

Angiodysplasia of colon with hemorrhage
Billable Code

Decision Criteria

clinical Criteria

  • Presence of active bleeding from angioectasia

Applicable To

  • Colonic angioectasia with bleeding

Excludes

  • Non-bleeding angioectasia (K55.20)

Clinical Validation Requirements

  • Documentation of active bleeding from colonic angioectasia

Code-Specific Risks

  • Incorrectly coding without evidence of bleeding

Coding Notes

  • Ensure bleeding is explicitly documented.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Acute posthemorrhagic anemia

D62
Use when anemia is due to acute blood loss from angioectasia.

Iron deficiency anemia secondary to blood loss (chronic)

D50.0
Use when chronic blood loss from angioectasia leads to iron deficiency anemia.

Atherosclerotic heart disease

I25.1
Use when cardiovascular disease is a comorbidity.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Angiodysplasia of colon without hemorrhage

K55.20
Use K55.20 when there is no active bleeding.

Angiodysplasia of stomach and duodenum without hemorrhage

K31.819
Use K31.819 when there is no active bleeding.

Angiodysplasia of small intestine without hemorrhage

K63.81
Use K63.81 when there is no active bleeding.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Angioectasia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K55.21.

Impact

Clinical: Leads to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims or incorrect reimbursement.

Mitigation Strategy

Train clinicians on specific documentation requirements., Use checklists to ensure all details are captured.

Impact

Reimbursement: Incorrect DRG assignment may affect reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Ensure documentation explicitly links anemia to bleeding from angioectasia.

Impact

Risk of audits if bleeding is not clearly documented.

Mitigation Strategy

Ensure all bleeding episodes are documented with location and severity.

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 Angioectasia, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Angioectasia

Use these documentation templates to ensure complete and accurate documentation for Angioectasia. These templates include all required elements for proper coding and billing.

Jejunal angioectasia with active bleeding

Specialty: Gastroenterology

Required Elements

  • Location of lesion
  • Size and number of lesions
  • Bleeding status
  • Diagnostic method

Example Documentation

Capsule endoscopy: 3 angioectasias (4-6mm) in proximal jejunum, one with active bleeding.

Examples: Poor vs. Good Documentation

Poor Documentation Example
GI bleed, likely vascular.
Good Documentation Example
EGD negative. Capsule endoscopy: 3 angioectasias (4-6mm) in proximal jejunum, one with active bleeding. Hemoglobin 7.2 g/dL (baseline 13.0). Plan: APC therapy.
Explanation
The good example provides specific location, size, bleeding status, and diagnostic findings, which are essential for accurate coding.

Need help with ICD-10 coding for Angioectasia? Ask your questions below.

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