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ICD-10 Coding for Angulation of Gastric Sleeve(K91.89, K31.89)

Complete ICD-10-CM coding and documentation guide for Angulation of Gastric Sleeve. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Gastric Sleeve AngulationStomach Sleeve Angulation

Related ICD-10 Code Ranges

Complete code families applicable to Angulation of Gastric Sleeve

K91.89Primary Range

Other postprocedural complications and disorders of digestive system

Primary range for complications following sleeve gastrectomy, including angulation.

Other specified diseases of stomach and duodenum

Used when angulation causes functional obstruction without explicit post-surgical complication.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
K91.89Other postprocedural complications of digestive systemUse when angulation is confirmed as a complication of sleeve gastrectomy.
  • Imaging confirmation of angulation
  • Symptoms of obstruction or dysphagia
K31.89Other specified diseases of stomachUse when angulation causes obstruction without direct link to surgery.
  • Functional obstruction without post-surgical context

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 angulation of gastric sleeve

Essential facts and insights about Angulation of Gastric Sleeve

The ICD-10 code for angulation of the gastric sleeve is K91.89, used for post-surgical complications.

Primary ICD-10-CM Codes for angulation of stomach sleeve

Other postprocedural complications of digestive system
Billable Code

Decision Criteria

clinical Criteria

  • Imaging shows angulation >60° with symptoms.

coding Criteria

  • Post-surgical status must be documented.

Applicable To

  • Post-sleeve gastrectomy angulation

Excludes

  • Mechanical complication of prosthetic devices (T85.698A)

Clinical Validation Requirements

  • Imaging confirmation of angulation
  • Symptoms of obstruction or dysphagia

Code-Specific Risks

  • Misclassification as a non-postprocedural condition

Coding Notes

  • Ensure imaging studies confirm angulation before coding.

Ancillary Codes

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

Nausea with vomiting

R11.2
Use to capture associated symptoms.

Dysphagia

R13.1
Use to document swallowing difficulties.

GERD

K21.9
Use if GERD symptoms are present.

Bariatric surgery status

Z98.84
Use to indicate history of bariatric surgery.

Differential Codes

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

Gastric stenosis, unspecified

K31.839
Use for non-postprocedural gastric strictures.

Other postprocedural complications of digestive system

K91.89
Use when linked to surgical procedure.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Angulation of Gastric Sleeve to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K91.89.

Impact

Clinical: Inaccurate diagnosis coding., Regulatory: Potential audit issues., Financial: Claim denials due to insufficient documentation.

Mitigation Strategy

Ensure imaging studies are included in the patient's file.

Impact

Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Ensure surgical history is documented for K91.89.

Impact

Claims without imaging confirmation may be audited.

Mitigation Strategy

Ensure all claims have corresponding imaging reports.

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 Angulation of Gastric Sleeve, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Angulation of Gastric Sleeve

Use these documentation templates to ensure complete and accurate documentation for Angulation of Gastric Sleeve. These templates include all required elements for proper coding and billing.

Post-LSG dysphagia with confirmed angulation

Specialty: Gastroenterology

Required Elements

  • Imaging findings
  • Symptom documentation
  • Procedure details

Example Documentation

EGD shows sharp 75° angulation at mid-sleeve requiring scope torque. UGI demonstrates 2-hour contrast retention.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has stomach issues after sleeve gastrectomy.
Good Documentation Example
Upper GI series reveals 90-degree angulation at incisura angularis with proximal dilation. Patient reports postprandial vomiting unresponsive to PPI therapy.
Explanation
The good example provides specific imaging findings and symptom details.

Need help with ICD-10 coding for Angulation of Gastric Sleeve? Ask your questions below.

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