ICD-10 Coding for Colectomy(K63.5)
Complete ICD-10-CM coding and documentation guide for Colectomy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Colectomy
K63-K64Primary Range
Diseases of the intestines
This range includes conditions that may necessitate a colectomy, such as diverticulitis and Crohn's disease.
Key Information: ICD-10 code for colectomy
Essential facts and insights about Colectomy
Primary ICD-10-CM Code for colectomy
Decision Criteria
clinical Criteria
- Presence of polyps confirmed by colonoscopy.
Applicable To
- Colon polyps
Excludes
- Familial adenomatous polyposis (Q85.8)
Clinical Validation Requirements
- Colonoscopy findings
- Histopathology report
Code-Specific Risks
- Ensure histopathology confirms polyp type to avoid misclassification.
Coding Notes
- Ensure documentation specifies the location and type of polyp.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Personal history of other diseases of digestive system
Z87.19Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Enteritis
K63.4Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Colectomy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K63.5.
Impact
Clinical: May affect post-operative care planning., Regulatory: Leads to non-compliance with documentation standards., Financial: Potential for denied claims or reduced reimbursement.
Mitigation Strategy
Include ostomy details in the operative report., Use checklists to ensure all procedure components are documented.
Impact
Reimbursement: Incorrect coding can lead to denied claims or incorrect reimbursement., Compliance: Non-compliance with coding standards., Data Quality: Inaccurate data affecting patient records and statistics.
Mitigation Strategy
Ensure documentation specifies whether it was a partial or total colectomy and any anastomosis.
Impact
Incorrectly coding separate procedures that should be bundled.
Mitigation Strategy
Review coding guidelines to ensure correct bundling of procedures.
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 Colectomy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Colectomy
Use these documentation templates to ensure complete and accurate documentation for Colectomy. These templates include all required elements for proper coding and billing.
Laparoscopic right hemicolectomy
Specialty: General SurgeryRequired Elements
- Pre-op diagnosis
- Procedure details
- Findings
- Technique
- Specimens
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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