ICD-10 Coding for Crohn's Ileitis(K50.011, K50.012, K50.013)
Complete ICD-10-CM coding and documentation guide for Crohn's Ileitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Crohn's Ileitis
K50.0-K50.9Primary Range
Crohn's disease [regional enteritis]
This range includes all codes related to Crohn's disease, specifying different sites and complications.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| K50.011 | Crohn's disease of the small intestine with rectal bleeding | Use when Crohn's ileitis presents with rectal bleeding confirmed by endoscopy. |
|
| K50.012 | Crohn's disease of the small intestine with obstruction | Use when Crohn's ileitis causes bowel obstruction confirmed by imaging. |
|
| K50.013 | Crohn's disease of the small intestine with fistula | Use when Crohn's ileitis results in fistula formation confirmed by imaging. |
|
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 Crohn's ileitis with rectal bleeding
Essential facts and insights about Crohn's Ileitis
Primary ICD-10-CM Codes for crohn's ileitis
Decision Criteria
clinical Criteria
- Presence of rectal bleeding with ileal Crohn's disease
Applicable To
- Terminal ileitis with rectal bleeding
Excludes
- Ulcerative colitis with rectal bleeding
Clinical Validation Requirements
- Colonoscopy showing terminal ileum involvement with bleeding
- Biopsy confirming non-caseating granulomas
Code-Specific Risks
- Misclassification if bleeding is not documented
- Overlooking other causes of bleeding
Coding Notes
- Ensure documentation specifies rectal bleeding and ileal involvement.
K50.012 - Crohn's disease of the small intestine with obstruction
Use when Crohn's ileitis causes bowel obstruction confirmed by imaging.
Applicable To
- Terminal ileitis with obstruction
Excludes
- Obstruction due to other causes
Clinical Validation Requirements
- CT enterography showing luminal narrowing
- Symptoms of bowel obstruction
Coding Notes
Document obstruction details and imaging findings.
K50.013 - Crohn's disease of the small intestine with fistula
Use when Crohn's ileitis results in fistula formation confirmed by imaging.
Applicable To
- Terminal ileitis with fistula
Excludes
- Fistulae not related to Crohn's
Clinical Validation Requirements
- MRI fistulogram showing enteroenteric fistula
- Clinical symptoms of fistula
Coding Notes
Ensure fistula type and location are clearly documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential 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 Crohn's Ileitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K50.011.
Impact
Clinical: May lead to inappropriate treatment plans., Regulatory: Non-compliance with coding guidelines., Financial: Potential for denied claims or reduced reimbursement.
Mitigation Strategy
Ensure documentation specifies the site and any complications., Regular training on ICD-10 updates.
Impact
Reimbursement: Incorrect coding can lead to reduced reimbursement., Compliance: May result in non-compliance with coding standards., Data Quality: Impacts the accuracy of health data records.
Mitigation Strategy
Always document and code the specific site and any complications present.
Impact
Failure to document complications can lead to audit issues.
Mitigation Strategy
Implement thorough documentation practices and regular audits.
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 Crohn's Ileitis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Crohn's Ileitis
Use these documentation templates to ensure complete and accurate documentation for Crohn's Ileitis. These templates include all required elements for proper coding and billing.
Crohn's Ileitis with Complications
Specialty: GastroenterologyRequired Elements
- Location of disease
- Type of complication
- Biomarker levels
- Imaging results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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