ICD-10 Coding for Cameron Ulcer(K25.4, K44.9)
Complete ICD-10-CM coding and documentation guide for Cameron Ulcer. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Cameron Ulcer
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| K25.4 | Chronic gastric ulcer with hemorrhage | Use when a chronic gastric ulcer is confirmed with active or recent hemorrhage. |
|
| K44.9 | Diaphragmatic hernia without obstruction or gangrene | Use when a hiatal hernia is confirmed without obstruction or gangrene. |
|
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 Cameron ulcer
Essential facts and insights about Cameron Ulcer
Primary ICD-10-CM Codes for cameron ulcer
Decision Criteria
clinical Criteria
- Presence of chronic gastric ulcer with active or recent bleeding
Applicable To
- Chronic gastric ulcer with bleeding
Excludes
- Acute gastric ulcer with hemorrhage (K25.0)
Clinical Validation Requirements
- Endoscopic confirmation of bleeding ulcer
- Symptoms of GI bleeding such as melena or hematemesis
Code-Specific Risks
- Incorrectly coding as acute ulcer
- Missing documentation of hemorrhage
Coding Notes
- Ensure documentation specifies the ulcer's location and hemorrhage status.
K44.9 - Diaphragmatic hernia without obstruction or gangrene
Use when a hiatal hernia is confirmed without obstruction or gangrene.
Applicable To
- Hiatal hernia without obstruction
Excludes
- Diaphragmatic hernia with obstruction (K44.0)
Clinical Validation Requirements
- Imaging or endoscopic confirmation of hiatal hernia
Coding Notes
Document the size and characteristics of the hernia.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Iron deficiency anemia secondary to chronic blood loss
D50.9Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Cameron Ulcer to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K25.4.
Impact
Clinical: May lead to inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.
Mitigation Strategy
Use specific terminology, Include detailed endoscopic findings
Impact
Reimbursement: May lead to incorrect DRG assignment and reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate representation of the patient's condition.
Mitigation Strategy
Always pair K25.4 with K44.9 when a hiatal hernia is present.
Impact
Failing to code both the ulcer and hernia can lead to audit flags.
Mitigation Strategy
Ensure comprehensive documentation and coding of all related conditions.
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 Ulcer, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Cameron Ulcer
Use these documentation templates to ensure complete and accurate documentation for Cameron Ulcer. These templates include all required elements for proper coding and billing.
Gastroenterology Progress Note
Specialty: GastroenterologyRequired Elements
- Findings of endoscopy
- Description of ulcer and hernia
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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