ICD-10 Coding for Cytomegalovirus Colitis(A08.3, B25.8)
Complete ICD-10-CM coding and documentation guide for Cytomegalovirus Colitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Cytomegalovirus 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 |
|---|---|---|---|
| A08.3 | Other viral enteritis | Use when colitis is confirmed to be caused by CMV. |
|
| B25.8 | Other cytomegaloviral diseases | Use to specify CMV involvement in colitis. |
|
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 cytomegalovirus colitis
Essential facts and insights about Cytomegalovirus Colitis
Primary ICD-10-CM Codes for cytomegalovirus colitis
Decision Criteria
clinical Criteria
- Biopsy confirms CMV inclusion bodies.
B25.8 - Other cytomegaloviral diseases
Use to specify CMV involvement in colitis.
Applicable To
- CMV disease involving other organs
Excludes
- CMV retinitis
Clinical Validation Requirements
- Positive CMV PCR/IHC in colonic tissue
Coding Notes
Ensure tissue confirmation of CMV.
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.
Inflammatory bowel disease codes
K50-K51Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Cytomegalovirus Colitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code A08.3.
Impact
Clinical: Misrepresentation of specific CMV involvement., Regulatory: Non-compliance with coding specificity., Financial: Potential loss of reimbursement for specific CMV treatment.
Mitigation Strategy
Verify tissue confirmation of CMV., Use B25.8 for specific organ involvement.
Impact
Reimbursement: Incorrect sequencing may affect DRG assignment., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Always sequence A08.3 first for CMV colitis.
Impact
A08.3 must be sequenced before B25.8 for CMV colitis.
Mitigation Strategy
Educate coders on sequencing rules.
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 Cytomegalovirus Colitis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Cytomegalovirus Colitis
Use these documentation templates to ensure complete and accurate documentation for Cytomegalovirus Colitis. These templates include all required elements for proper coding and billing.
Gastroenterology Progress Note
Specialty: GastroenterologyRequired Elements
- Patient symptoms
- Endoscopic findings
- Biopsy results
- Lab test results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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