ICD-10 Coding for Chronic Mesenteric Ischemia(K55.1)
Complete ICD-10-CM coding and documentation guide for Chronic Mesenteric Ischemia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Chronic Mesenteric Ischemia
K55-K64Primary Range
Diseases of intestines
Includes codes for various intestinal ischemic conditions, with K55.1 specifically for chronic mesenteric ischemia.
Diseases of arteries, arterioles, and capillaries
Includes codes for atherosclerosis, which is a common underlying cause of chronic mesenteric ischemia.
Key Information: ICD-10 code for chronic mesenteric ischemia
Essential facts and insights about Chronic Mesenteric Ischemia
Primary ICD-10-CM Code for chronic mesenteric ischemia
Decision Criteria
clinical Criteria
- Presence of postprandial pain and significant weight loss with imaging confirmation.
coding Criteria
- Avoid using acute codes unless acute symptoms are present.
Applicable To
- Chronic mesenteric ischemia
Excludes
- Acute vascular disorders of intestine (K55.0)
Clinical Validation Requirements
- Postprandial abdominal pain lasting >30 minutes
- Unintentional weight loss ≥10% body weight
- CTA showing ≥70% stenosis in ≥2 mesenteric arteries
Code-Specific Risks
- Confusion with acute mesenteric ischemia codes
- Failure to document underlying causes
Coding Notes
- Ensure documentation specifies chronicity and imaging findings.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Atherosclerosis of native arteries of extremities
I70.2Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Chronic Mesenteric Ischemia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K55.1.
Impact
Clinical: Misdiagnosis risk, Regulatory: Potential audit failure, Financial: Claim denials
Mitigation Strategy
Use specific terms like 'postprandial pain', Document symptom duration and impact
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate clinical data reporting.
Mitigation Strategy
Use K55.1 for symptoms persisting over 2 weeks.
Impact
Using non-specific codes without supporting documentation.
Mitigation Strategy
Ensure detailed symptom documentation and imaging 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 Chronic Mesenteric Ischemia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Chronic Mesenteric Ischemia
Use these documentation templates to ensure complete and accurate documentation for Chronic Mesenteric Ischemia. These templates include all required elements for proper coding and billing.
Chronic Mesenteric Ischemia with Atherosclerosis
Specialty: Vascular SurgeryRequired Elements
- Detailed history of postprandial pain
- Weight loss documentation
- Imaging findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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