ICD-10 Coding for Dilated Common Bile Duct(K83.1)
Complete ICD-10-CM coding and documentation guide for Dilated Common Bile Duct. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Dilated Common Bile Duct
K80-K87Primary Range
Diseases of the gallbladder, biliary tract, and pancreas
This range includes codes for conditions affecting the bile duct, including obstructions and dilations.
Key Information: ICD-10 code for dilated common bile duct
Essential facts and insights about Dilated Common Bile Duct
Primary ICD-10-CM Code for dilated common bile duct
Decision Criteria
clinical Criteria
- Presence of CBD dilation on imaging
documentation Criteria
- Documented measurement and etiology of dilation
Applicable To
- Biliary obstruction
- CBD obstruction
Clinical Validation Requirements
- Imaging showing CBD dilation
- Symptoms of jaundice or elevated bilirubin
Code-Specific Risks
- Misclassification if etiology is not specified
- Denials if documentation lacks measurement
Coding Notes
- Ensure to document the exact diameter of the CBD and any associated symptoms or findings.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Jaundice
R17Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Calculus of bile duct with cholangitis
K80.51Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Dilated Common Bile Duct to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K83.1.
Impact
Clinical: Inaccurate diagnosis, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials
Mitigation Strategy
Always include etiology in documentation, Use templates to ensure completeness
Impact
Reimbursement: Potential for claim denials or reduced reimbursement, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate clinical data representation
Mitigation Strategy
Always document and code the underlying cause, such as stones or strictures.
Impact
Risk of audits due to lack of detailed documentation on CBD dilation
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 Dilated Common Bile Duct, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Dilated Common Bile Duct
Use these documentation templates to ensure complete and accurate documentation for Dilated Common Bile Duct. These templates include all required elements for proper coding and billing.
Asymptomatic CBD dilation post-cholecystectomy
Specialty: GastroenterologyRequired Elements
- CBD measurement
- Surgical history
- Imaging findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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