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ICD-10 Coding for Colon Resection(0DTN0ZZ)

Complete ICD-10-CM coding and documentation guide for Colon Resection. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

ColectomyBowel Resection

Related ICD-10 Code Ranges

Complete code families applicable to Colon Resection

0DT*Primary Range

ICD-10-PCS codes for resection procedures

This range includes codes for the complete removal of specific parts of the colon.

ICD-10-PCS codes for excision procedures

This range includes codes for partial removal of parts of the colon.

Key Information: ICD-10 code for colon resection

Essential facts and insights about Colon Resection

The ICD-10 code for colon resection is 0DTN0ZZ, used for complete removal of the sigmoid colon.

Primary ICD-10-CM Code for colon resection

Resection of Sigmoid Colon, Open Approach
Non-billable Code

Decision Criteria

clinical Criteria

  • Complete removal of the sigmoid colon

documentation Criteria

  • Operative report must specify 'resection' not 'excision'

Applicable To

  • Total removal of sigmoid colon

Excludes

  • Partial removal of sigmoid colon

Clinical Validation Requirements

  • Operative report indicating complete removal of sigmoid colon
  • Pathology report confirming total resection

Code-Specific Risks

  • Misclassification as excision if documentation is unclear

Coding Notes

  • Ensure documentation specifies complete resection to avoid coding errors.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Bypass of Ascending Colon, Percutaneous Endoscopic Approach

0D1K4ZZ
Use when a bypass is performed in addition to resection.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Excision of Sigmoid Colon, Open Approach

0DBN0ZZ
Use for partial removal of the sigmoid colon.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Colon Resection to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code 0DTN0ZZ.

Impact

Clinical: May lead to incorrect treatment follow-up., Regulatory: Non-compliance with documentation standards., Financial: Potential loss of reimbursement.

Mitigation Strategy

Use synoptic templates, Regular training for surgical teams

Impact

Reimbursement: Incorrect coding can lead to reimbursement issues., Compliance: May result in non-compliance with coding standards., Data Quality: Affects the accuracy of medical records.

Mitigation Strategy

Ensure documentation clearly states 'complete removal' for resection.

Impact

Incomplete documentation can trigger audits.

Mitigation Strategy

Ensure all operative details are documented.

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 Colon Resection, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Colon Resection

Use these documentation templates to ensure complete and accurate documentation for Colon Resection. These templates include all required elements for proper coding and billing.

Sigmoid Colon Resection

Specialty: General Surgery

Required Elements

  • Curative intent
  • Tumor location
  • Vascular ligation
  • Lymph node yield

Example Documentation

Procedure performed with curative intent for T3N1M0 adenocarcinoma. Ligated ileocolic artery at origin. 42 lymph nodes examined, 3 positive.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Partial colon resection performed.
Good Documentation Example
Segmental resection of 15 cm sigmoid colon with 2 cm distal margin.
Explanation
Specifies the extent of resection and margin details.

Need help with ICD-10 coding for Colon Resection? Ask your questions below.

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