ICD-10 Coding for Esophageal Perforation(K22.3, S27.8)
Complete ICD-10-CM coding and documentation guide for Esophageal Perforation. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Esophageal Perforation
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| K22.3 | Perforation of esophagus | Use for non-traumatic esophageal perforations confirmed by imaging or clinical presentation. |
|
| S27.8 | Other specified injuries of thorax | Use for esophageal perforations resulting from trauma or foreign body ingestion. |
|
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 esophageal perforation
Essential facts and insights about Esophageal Perforation
Primary ICD-10-CM Codes for esophageal perforation
Decision Criteria
clinical Criteria
- Presence of Mackler triad and imaging confirmation
coding Criteria
- Non-traumatic etiology
Applicable To
- Spontaneous esophageal perforation
- Iatrogenic esophageal perforation
Excludes
- Traumatic esophageal perforation (S27.8)
Clinical Validation Requirements
- Mackler triad: vomiting, chest pain, subcutaneous emphysema
- Contrast extravasation on imaging
Code-Specific Risks
- Misclassification of traumatic perforations
- Omission of associated complications
Coding Notes
- Ensure documentation specifies the cause and confirms the diagnosis with imaging.
S27.8 - Other specified injuries of thorax
Use for esophageal perforations resulting from trauma or foreign body ingestion.
Applicable To
- Traumatic esophageal perforation
Excludes
- Non-traumatic esophageal perforation (K22.3)
Clinical Validation Requirements
- History of trauma or instrumentation
- Pneumomediastinum on CT
Coding Notes
Ensure documentation includes the traumatic event leading to perforation.
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 Esophageal Perforation to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K22.3.
Impact
Clinical: Inaccurate treatment plans, Regulatory: Non-compliance with documentation standards, Financial: Potential for denied claims
Mitigation Strategy
Thorough review of patient history, Detailed operative notes
Impact
Reimbursement: Incorrect DRG assignment leading to potential overpayment., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Use S27.8 for traumatic cases.
Impact
Inadequate documentation of trauma leading to incorrect coding.
Mitigation Strategy
Ensure detailed documentation of the traumatic event.
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 Esophageal Perforation, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Esophageal Perforation
Use these documentation templates to ensure complete and accurate documentation for Esophageal Perforation. These templates include all required elements for proper coding and billing.
Post-EGD esophageal perforation
Specialty: GastroenterologyRequired Elements
- Procedure details
- Imaging findings
- Complications
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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