ICD-10 Coding for Chronic Gastroenteritis(K52.2, K52.89)
Complete ICD-10-CM coding and documentation guide for Chronic Gastroenteritis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Chronic Gastroenteritis
K52.0-K52.9Primary Range
Other and unspecified noninfective gastroenteritis and colitis
This range includes codes for various types of noninfective gastroenteritis, including chronic forms.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| K52.2 | Allergic and dietetic gastroenteritis and colitis | Use when gastroenteritis is due to a confirmed food allergy or dietary cause. |
|
| K52.89 | Other specified noninfective gastroenteritis and colitis | Use when chronic gastroenteritis is confirmed to be noninfective and not due to dietary causes. |
|
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 chronic gastroenteritis
Essential facts and insights about Chronic Gastroenteritis
Primary ICD-10-CM Codes for chronic gastroenteritis
Decision Criteria
clinical Criteria
- Confirmed food allergy or intolerance
Applicable To
- Food allergy-related gastroenteritis
Excludes
- Infective gastroenteritis (A00-A09)
Clinical Validation Requirements
- Documented food allergy or intolerance
- Negative stool cultures for infectious agents
Code-Specific Risks
- Misclassification if food allergy is not confirmed
Coding Notes
- Ensure documentation specifies the dietary cause or allergy.
K52.89 - Other specified noninfective gastroenteritis and colitis
Use when chronic gastroenteritis is confirmed to be noninfective and not due to dietary causes.
Applicable To
- Chronic autoimmune gastroenteritis
Excludes
- Infective gastroenteritis (A00-A09)
Clinical Validation Requirements
- Endoscopic findings consistent with noninfective inflammation
- Negative infectious workup
Coding Notes
Ensure thorough documentation of noninfective etiology.
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.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Chronic Gastroenteritis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K52.2.
Impact
Clinical: May lead to inappropriate treatment plans., Regulatory: Non-compliance with documentation standards., Financial: Potential for claim denials.
Mitigation Strategy
Always document symptom duration, Include detailed patient history
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Non-compliance with coding guidelines., Data Quality: Reduces accuracy of clinical data.
Mitigation Strategy
Document and code the specific cause of gastroenteritis.
Impact
Audits may target use of unspecified codes when specific codes are available.
Mitigation Strategy
Ensure documentation supports the most specific code possible.
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 Chronic Gastroenteritis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Chronic Gastroenteritis
Use these documentation templates to ensure complete and accurate documentation for Chronic Gastroenteritis. These templates include all required elements for proper coding and billing.
Chronic autoimmune gastroenteritis
Specialty: GastroenterologyRequired Elements
- Patient history
- Endoscopic findings
- Biopsy results
- Symptom duration
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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