ICD-10 Coding for Cameron Lesions(K25.4)
Complete ICD-10-CM coding and documentation guide for Cameron Lesions. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Cameron Lesions
Key Information: ICD-10 code for Cameron lesions
Essential facts and insights about Cameron Lesions
Primary ICD-10-CM Code for cameron lesions
Decision Criteria
clinical Criteria
- Presence of bleeding and endoscopic confirmation
documentation Criteria
- Explicit mention of Cameron lesions and hemorrhage
Applicable To
- Cameron lesions with bleeding
Excludes
- Peptic ulcer without hemorrhage (K25.0)
Clinical Validation Requirements
- Endoscopic confirmation of linear erosions
- Evidence of bleeding such as hematemesis or melena
Code-Specific Risks
- Misclassification as non-bleeding ulcer
Coding Notes
- Ensure documentation specifies hemorrhage and lesion location.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Acute gastric ulcer without hemorrhage
K25.0Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Cameron Lesions to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K25.4.
Impact
Clinical: Misdiagnosis of ulcer type, Regulatory: Non-compliance with coding standards, Financial: Loss of reimbursement
Mitigation Strategy
Thorough endoscopic documentation, Training on ulcer classification
Impact
Reimbursement: Incorrect DRG assignment, Compliance: Potential audit issues, Data Quality: Inaccurate clinical data
Mitigation Strategy
Verify endoscopic findings and bleeding status.
Impact
Inadequate documentation can lead to audits.
Mitigation Strategy
Ensure detailed endoscopic reports and lab results are included.
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 Cameron Lesions, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Cameron Lesions
Use these documentation templates to ensure complete and accurate documentation for Cameron Lesions. These templates include all required elements for proper coding and billing.
Cameron Lesions with Anemia
Specialty: GastroenterologyRequired Elements
- Endoscopic findings
- Hemoglobin levels
- Presence of hiatal hernia
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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