ICD-10 Coding for Collagenous Colitis(K52.831)
Complete ICD-10-CM coding and documentation guide for Collagenous Colitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Collagenous Colitis
K52.8-K52.9Primary Range
Other specified noninfective gastroenteritis and colitis
This range includes specific codes for collagenous colitis and other related conditions.
Key Information: ICD-10 code for collagenous colitis
Essential facts and insights about Collagenous Colitis
Primary ICD-10-CM Code for collagenous colitis
Decision Criteria
clinical Criteria
- Biopsy confirms subepithelial collagen band ≥10μm
documentation Criteria
- Detailed histological findings documented
Applicable To
- Collagenous colitis confirmed by biopsy
Clinical Validation Requirements
- Biopsy showing subepithelial collagen band ≥10μm
- Intraepithelial lymphocytes >20/100 epithelial cells
- Normal colonoscopy findings
Code-Specific Risks
- Misclassification as unspecified colitis (K52.9)
- Confusion with lymphocytic colitis
Coding Notes
- Ensure biopsy confirmation before coding as K52.831.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Diarrhea, unspecified
R19.7Differential 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 Collagenous Colitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K52.831.
Impact
Clinical: Leads to inappropriate treatment plans., Regulatory: Non-compliance with coding guidelines., Financial: Potential for denied claims.
Mitigation Strategy
Always specify collagenous or lymphocytic subtype, Review biopsy reports for specific findings
Impact
Reimbursement: Incorrect DRG assignment leading to lower reimbursement., Compliance: Potential for audit due to lack of specificity., Data Quality: Impacts accuracy of clinical data and research.
Mitigation Strategy
Use K52.831 only with biopsy confirmation.
Impact
Risk of audits due to non-specific coding.
Mitigation Strategy
Ensure biopsy confirmation and detailed 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 Collagenous Colitis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Collagenous Colitis
Use these documentation templates to ensure complete and accurate documentation for Collagenous Colitis. These templates include all required elements for proper coding and billing.
Initial Diagnosis
Specialty: GastroenterologyRequired Elements
- Patient history of diarrhea
- Colonoscopy findings
- Biopsy results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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