ICD-10 Coding for Egg Allergy(Z91.012, T78.08XA)
Complete ICD-10-CM coding and documentation guide for Egg Allergy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Egg Allergy
Z91.0-Z91.9Primary Range
Personal history of allergy to other foods, drugs, and biological substances
This range includes codes for documenting allergy status, including egg allergy.
Anaphylactic shock due to adverse food reaction
This range includes codes for acute anaphylactic reactions due to egg exposure.
Urticaria
This range includes codes for urticaria, which can occur as a reaction to egg exposure.
Vasomotor and allergic rhinitis
This range includes codes for allergic rhinitis, which can be triggered by egg ingestion.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| Z91.012 | Allergy to eggs | Use for documenting known egg allergy without acute symptoms. |
|
| T78.08XA | Anaphylactic reaction due to eggs, initial encounter | Use for acute anaphylactic reactions to egg, initial encounter. |
|
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 egg allergy
Essential facts and insights about Egg Allergy
Primary ICD-10-CM Codes for egg allergy
Decision Criteria
clinical Criteria
- Presence of IgE-mediated symptoms after egg exposure
documentation Criteria
- Specific mention of 'egg allergy' or 'egg hypersensitivity'
Applicable To
- Egg hypersensitivity
Excludes
- Non-IgE mediated food intolerance (K90.4)
Clinical Validation Requirements
- Positive IgE test for egg proteins
- Documented history of allergic reaction to egg
Code-Specific Risks
- Misclassification as intolerance
- Lack of supporting IgE test documentation
Coding Notes
- Ensure documentation specifies 'allergy to eggs' or 'egg hypersensitivity'.
T78.08XA - Anaphylactic reaction due to eggs, initial encounter
Use for acute anaphylactic reactions to egg, initial encounter.
Applicable To
- Anaphylaxis due to egg
Excludes
- Non-anaphylactic allergic reactions (Z91.012)
Clinical Validation Requirements
- Documented anaphylactic symptoms post egg ingestion
- Emergency treatment administered
Coding Notes
Ensure documentation specifies 'anaphylactic reaction due to eggs'.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Egg Allergy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z91.012.
Impact
Clinical: Misrepresents patient's allergy status., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Verify IgE test results before coding, Educate staff on allergy vs. intolerance
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Misclassification can result in compliance issues., Data Quality: Impacts the accuracy of patient allergy records.
Mitigation Strategy
Use Z91.012 for IgE-mediated allergy and K90.4 for intolerance.
Impact
Reimbursement: May affect billing for emergency services., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate tracking of patient encounters.
Mitigation Strategy
Specify initial or subsequent encounter in documentation.
Impact
Inadequate documentation of allergy status and reactions.
Mitigation Strategy
Implement standardized templates and verify IgE test results.
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 Egg Allergy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Egg Allergy
Use these documentation templates to ensure complete and accurate documentation for Egg Allergy. These templates include all required elements for proper coding and billing.
Routine Allergy Status Documentation
Specialty: Allergy and ImmunologyRequired Elements
- Patient history of egg exposure
- IgE test results
- Symptoms and reaction details
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Acute Anaphylactic Reaction Documentation
Specialty: Emergency MedicineRequired Elements
- Description of anaphylactic symptoms
- Treatment administered
- Follow-up care instructions
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Egg Allergy? Ask your questions below.