ICD-10 Coding for Colitis Pain(K51.911, R10.31)
Complete ICD-10-CM coding and documentation guide for Colitis Pain. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Colitis Pain
K51.0-K51.9Primary Range
Ulcerative colitis
This range covers various forms of ulcerative colitis, which is often associated with abdominal pain.
Abdominal and pelvic pain
This range includes codes for abdominal pain, which can be a symptom of colitis.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| K51.911 | Ulcerative colitis, unspecified, with rectal bleeding | Use when ulcerative colitis is confirmed with rectal bleeding. |
|
| R10.31 | Right lower quadrant pain | Use when documenting specific location of abdominal pain. |
|
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 colitis pain
Essential facts and insights about Colitis Pain
Primary ICD-10-CM Codes for colitis pain
Decision Criteria
clinical Criteria
- Presence of rectal bleeding confirmed by endoscopy
Applicable To
- Ulcerative colitis with bleeding
Excludes
- Crohn's disease with bleeding
Clinical Validation Requirements
- Endoscopy showing active bleeding
- Patient reports of rectal bleeding
Code-Specific Risks
- Undercoding if bleeding is not documented
Coding Notes
- Ensure documentation specifies bleeding and correlates with endoscopic findings.
R10.31 - Right lower quadrant pain
Use when documenting specific location of abdominal pain.
Applicable To
- Pain in the right lower quadrant
Excludes
- Pain in other quadrants
Clinical Validation Requirements
- Physical exam documenting RLQ tenderness
Coding Notes
Ensure pain location is clearly documented in the medical record.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Right lower quadrant pain
R10.31Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Colitis Pain to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K51.911.
Impact
Clinical: May lead to inappropriate treatment plans., Regulatory: Non-compliance with coding guidelines., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Use specific codes that reflect the full clinical picture., Ensure documentation supports the chosen codes.
Impact
Reimbursement: Potential loss of reimbursement for more severe conditions, Compliance: Risk of non-compliance with coding standards, Data Quality: Inaccurate clinical data representation
Mitigation Strategy
Ensure detailed documentation of symptoms and findings, such as bleeding and pain location.
Impact
Using codes for complications without proper documentation.
Mitigation Strategy
Ensure all complication codes are supported by clinical evidence.
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 Colitis Pain, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Colitis Pain
Use these documentation templates to ensure complete and accurate documentation for Colitis Pain. These templates include all required elements for proper coding and billing.
UC flare with generalized pain
Specialty: GastroenterologyRequired Elements
- Pain location and severity
- Associated symptoms
- Endoscopic findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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