ICD-10 Coding for Enteritis(A08.0, A08.1, K52.9)
Complete ICD-10-CM coding and documentation guide for Enteritis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Enteritis
A08-A09Primary Range
Viral and other specified intestinal infections
This range includes codes for viral enteritis, which is a common form of the condition.
Other and unspecified noninfective gastroenteritis and colitis
This range covers non-infectious enteritis, which is important for differential diagnosis.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| A08.0 | Rotaviral enteritis | Use when rotavirus is confirmed as the cause of enteritis. |
|
| A08.1 | Acute gastroenteropathy due to Norwalk agent | Use when Norwalk virus is confirmed as the cause of enteritis. |
|
| K52.9 | Noninfective gastroenteritis and colitis, unspecified | Use when enteritis is non-infectious and the specific cause is not identified. |
|
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 viral enteritis
Essential facts and insights about Enteritis
Primary ICD-10-CM Codes for enteritis
Decision Criteria
clinical Criteria
- Confirmed rotavirus infection
Applicable To
- Rotavirus infection
Excludes
- Bacterial enteritis
Clinical Validation Requirements
- Positive stool PCR for rotavirus
Code-Specific Risks
- Misclassification if viral etiology is not confirmed
Coding Notes
- Ensure viral etiology is confirmed before using this code.
A08.1 - Acute gastroenteropathy due to Norwalk agent
Use when Norwalk virus is confirmed as the cause of enteritis.
Applicable To
- Norovirus infection
Excludes
- Bacterial enteritis
Clinical Validation Requirements
- Positive stool PCR for Norwalk virus
Coding Notes
Ensure viral etiology is confirmed before using this code.
K52.9 - Noninfective gastroenteritis and colitis, unspecified
Use when enteritis is non-infectious and the specific cause is not identified.
Applicable To
- Non-infectious enteritis
Excludes
- Infectious gastroenteritis
Clinical Validation Requirements
- Absence of infectious etiology
Coding Notes
Use only when infectious etiology is ruled out.
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 Enteritis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code A08.0.
Impact
Clinical: May lead to inappropriate treatment., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Ensure lab confirmation of viral etiology, Document specific virus in medical records
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on disease prevalence.
Mitigation Strategy
Use specific codes like A08.0 or A08.1 when the viral etiology is confirmed.
Impact
Using unspecified codes when specific etiology is documented.
Mitigation Strategy
Regular audits and coder training on specificity.
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 Enteritis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Enteritis
Use these documentation templates to ensure complete and accurate documentation for Enteritis. These templates include all required elements for proper coding and billing.
Suspected viral enteritis in pediatric patient
Specialty: PediatricsRequired Elements
- Onset and duration of symptoms
- Stool test results
- Dehydration assessment
- Treatment provided
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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