ICD-10 Coding for Campylobacter Colitis(A04.5)
Complete ICD-10-CM coding and documentation guide for Campylobacter Colitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Campylobacter Colitis
A00-A09Primary Range
Intestinal infectious diseases
This range includes codes for infectious diseases of the intestines, including Campylobacter infections.
Key Information: ICD-10 code for Campylobacter colitis
Essential facts and insights about Campylobacter Colitis
Primary ICD-10-CM Code for campylobacter colitis
Decision Criteria
clinical Criteria
- Presence of bloody diarrhea and fever with positive stool culture for Campylobacter.
documentation Criteria
- Document specific Campylobacter species if known.
Applicable To
- Campylobacter colitis
- Campylobacter enterocolitis
- Campylobacter gastroenteritis
Clinical Validation Requirements
- Stool culture positive for Campylobacter spp.
- PCR test confirming Campylobacter
- Symptoms: bloody diarrhea, fever, abdominal pain
Code-Specific Risks
- Misclassification if species is not confirmed
- Incorrect use if symptoms are not documented
Coding Notes
- Ensure lab confirmation of Campylobacter is documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Campylobacter Colitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code A04.5.
Impact
Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims or reduced reimbursement.
Mitigation Strategy
Ensure detailed symptom documentation., Verify lab results are included in the record.
Impact
Reimbursement: Incorrect coding may lead to lower reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Impacts accuracy of health data.
Mitigation Strategy
Use A04.5 when Campylobacter is confirmed by lab tests.
Impact
Using general codes instead of specific Campylobacter codes.
Mitigation Strategy
Educate staff on the importance of specific coding and documentation.
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 Campylobacter Colitis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Campylobacter Colitis
Use these documentation templates to ensure complete and accurate documentation for Campylobacter Colitis. These templates include all required elements for proper coding and billing.
Inpatient admission for Campylobacter colitis
Specialty: GastroenterologyRequired Elements
- Chief complaint
- History of present illness
- Physical examination findings
- Laboratory results
- Assessment and plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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