ICD-10 Coding for Duodenal Stricture(K31.5, K31.89)
Complete ICD-10-CM coding and documentation guide for Duodenal Stricture. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Duodenal Stricture
K31-K31.9Primary Range
Diseases of stomach and duodenum
This range includes codes for various conditions affecting the stomach and duodenum, including strictures.
Paralytic ileus and intestinal obstruction without hernia
Used when duodenal stricture causes obstruction.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| K31.5 | Obstruction of duodenum | Use when there is a documented obstruction of the duodenum due to stricture. |
|
| K31.89 | Other specified diseases of stomach and duodenum | Use when there is a duodenal stricture without obstruction. |
|
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 duodenal stricture
Essential facts and insights about Duodenal Stricture
Primary ICD-10-CM Codes for duodenal stricture
Decision Criteria
clinical Criteria
- Obstruction confirmed by imaging or endoscopy
documentation Criteria
- Documented cause of stricture
Applicable To
- Duodenal stricture causing obstruction
Excludes
- Congenital duodenal obstruction (Q41.0)
Clinical Validation Requirements
- Imaging showing duodenal narrowing
- EGD confirming obstruction
Code-Specific Risks
- Ensure obstruction is documented; otherwise, use K31.89.
Coding Notes
- Ensure documentation specifies the cause and type of obstruction.
K31.89 - Other specified diseases of stomach and duodenum
Use when there is a duodenal stricture without obstruction.
Applicable To
- Non-obstructive duodenal stricture
Excludes
- Obstruction of duodenum (K31.5)
Clinical Validation Requirements
- Endoscopy showing duodenal narrowing without obstruction
Coding Notes
Ensure documentation clarifies absence of obstruction.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Crohn’s disease, unspecified
K50.90Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Duodenal Stricture to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K31.5.
Impact
Clinical: Inaccurate diagnosis coding., Regulatory: Potential audit issues., Financial: Denied claims due to incomplete documentation.
Mitigation Strategy
Always document any known underlying conditions.
Impact
Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure obstruction is confirmed by imaging or endoscopy.
Impact
Coding obstruction without proper documentation.
Mitigation Strategy
Ensure imaging or endoscopy confirms obstruction.
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 Duodenal Stricture, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Duodenal Stricture
Use these documentation templates to ensure complete and accurate documentation for Duodenal Stricture. These templates include all required elements for proper coding and billing.
Duodenal stricture with partial obstruction
Specialty: GastroenterologyRequired Elements
- Patient symptoms
- Imaging findings
- Endoscopy results
- Underlying conditions
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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