ICD-10 Coding for Duodenum Diverticulum(K57.10, K57.12)
Complete ICD-10-CM coding and documentation guide for Duodenum Diverticulum. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Duodenum Diverticulum
K57.0-K57.9Primary Range
Diverticular disease of intestine
This range includes codes for diverticular disease affecting various parts of the intestine, including the duodenum.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| K57.10 | Diverticulosis of small intestine without perforation or abscess | Use when diverticulosis is confirmed without signs of inflammation or complications. |
|
| K57.12 | Diverticulitis of small intestine without perforation or abscess | Use when diverticulitis is confirmed without perforation or abscess. |
|
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 duodenum diverticulum
Essential facts and insights about Duodenum Diverticulum
Primary ICD-10-CM Codes for duodenum diverticulum
Decision Criteria
clinical Criteria
- No signs of inflammation or complications
Applicable To
- Asymptomatic duodenal diverticulosis
Excludes
- Diverticulitis of small intestine with perforation and abscess (K57.00)
Clinical Validation Requirements
- Imaging showing diverticulum without inflammation
- Normal WBC and CRP levels
Code-Specific Risks
- Misclassification if inflammation is present
Coding Notes
- Ensure documentation specifies 'duodenum' to avoid using unspecified codes.
K57.12 - Diverticulitis of small intestine without perforation or abscess
Use when diverticulitis is confirmed without perforation or abscess.
Applicable To
- Duodenal diverticulitis without complications
Excludes
- Diverticulitis of small intestine with perforation and abscess (K57.00)
Clinical Validation Requirements
- CT showing inflammation around diverticulum
- Elevated WBC and CRP levels
Coding Notes
Document inflammation status clearly to differentiate from diverticulosis.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Unspecified abdominal pain
R10.9Differential 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 Duodenum Diverticulum to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K57.10.
Impact
Clinical: May lead to inappropriate treatment, Regulatory: Non-compliance with coding standards, Financial: Potential for denied claims
Mitigation Strategy
Use structured templates, Regular training on documentation standards
Impact
Reimbursement: May lead to lower reimbursement rates, Compliance: Non-compliance with coding guidelines, Data Quality: Decreases accuracy of clinical data
Mitigation Strategy
Always specify 'duodenum' in documentation to use specific codes.
Impact
Risk of using unspecified codes when specific codes are applicable
Mitigation Strategy
Implement regular audits and training sessions
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 Duodenum Diverticulum, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Duodenum Diverticulum
Use these documentation templates to ensure complete and accurate documentation for Duodenum Diverticulum. These templates include all required elements for proper coding and billing.
Duodenal diverticulitis without complications
Specialty: GastroenterologyRequired Elements
- Imaging findings
- Inflammation status
- Absence of complications
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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