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ICD-10 Coding for Bowel Resection(0DTE0ZZ)

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

Also known as:

Intestinal ResectionSmall Bowel ResectionLarge Bowel Resection

Related ICD-10 Code Ranges

Complete code families applicable to Bowel Resection

0DTE0ZZPrimary Range

ICD-10-PCS code for Resection of large intestine

This range includes codes for surgical removal of the entire large intestine or segments thereof.

CPT codes for small bowel resection procedures

These codes cover various surgical techniques for resecting parts of the small intestine, including anastomosis.

Key Information: ICD-10 code for bowel resection

Essential facts and insights about Bowel Resection

The ICD-10 code for bowel resection is 0DTE0ZZ, indicating resection of the large intestine.

Primary ICD-10-CM Code for bowel resection

Resection of large intestine, open approach
Non-billable Code

Decision Criteria

clinical Criteria

  • Complete removal of a large intestine segment

documentation Criteria

  • Operative note must specify resection and approach

Applicable To

  • Total colectomy
  • Segmental colon resection

Excludes

  • Excision of large intestine (0DBE0ZZ)

Clinical Validation Requirements

  • Operative report specifying complete removal of large intestine segment
  • Pathology report confirming resected tissue

Code-Specific Risks

  • Misclassification as excision
  • Inadequate documentation of resection extent

Coding Notes

  • Ensure documentation specifies the complete removal of the intestine segment.

Ancillary Codes

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

Each additional small bowel resection

44121
Use when multiple segments are resected during the same procedure.

Differential Codes

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

Excision of large intestine, open approach

0DBE0ZZ
Use for partial removal of the large intestine, not the entire segment.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Bowel Resection to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code 0DTE0ZZ.

Impact

Clinical: Leads to misinterpretation of the procedure performed., Regulatory: May result in audit discrepancies., Financial: Potential for denied claims or reduced reimbursement.

Mitigation Strategy

Use standardized templates, Ensure thorough review of documentation

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

Verify the operative note for complete removal of the intestine segment.

Impact

Inaccurate or incomplete documentation can lead to audit findings.

Mitigation Strategy

Implement regular documentation audits and training.

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

Documentation Templates for Bowel Resection

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

Operative Note for Bowel Resection

Specialty: General Surgery

Required Elements

  • Patient details
  • Pre-operative diagnosis
  • Post-operative diagnosis
  • Procedure details
  • Specimen sent for pathology

Example Documentation

Resection of 25 cm ileum with end-to-end anastomosis, no leakage on air insufflation.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Small bowel resection performed.
Good Documentation Example
Resection of 15 cm necrotic ileum with side-to-side stapled anastomosis.
Explanation
The good example specifies the length and type of anastomosis, providing clarity.

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