ICD-10 Coding for Gastric Antral Vascular Ectasia(K31.819)
Complete ICD-10-CM coding and documentation guide for Gastric Antral Vascular Ectasia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Gastric Antral Vascular Ectasia
K31-K31.9Primary Range
Diseases of stomach and duodenum
This range includes codes for specific diseases of the stomach, including GAVE.
Key Information: ICD-10 code for GAVE
Essential facts and insights about Gastric Antral Vascular Ectasia
Primary ICD-10-CM Code for gave
Decision Criteria
clinical Criteria
- Presence of 'watermelon stomach' pattern on endoscopy
coding Criteria
- Sequence underlying conditions like cirrhosis before GAVE
Applicable To
- Gastric Antral Vascular Ectasia
Excludes
- Portal hypertensive gastropathy
Clinical Validation Requirements
- Endoscopic confirmation of 'watermelon stomach' pattern
- Histological findings of mucosal capillary ectasia with fibrin thrombi
Code-Specific Risks
- Confusion with portal hypertensive gastropathy
- Incorrect sequencing with underlying conditions
Coding Notes
- Ensure documentation supports the specific vascular pattern and histological findings.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Iron deficiency anemia secondary to blood loss
D50.0Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Other specified diseases of liver
K76.89Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Gastric Antral Vascular Ectasia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K31.819.
Impact
Clinical: Misleading clinical picture of patient's condition., Regulatory: Non-compliance with coding guidelines., Financial: Potential for denied claims.
Mitigation Strategy
Specify type and cause of anemia in documentation., Link anemia to GAVE explicitly.
Impact
Reimbursement: May lead to claim denials., Compliance: Triggers audits due to lack of supporting documentation., Data Quality: Compromises accuracy of clinical data.
Mitigation Strategy
Ensure biopsy confirms GAVE-specific findings before coding.
Impact
Coding GAVE without biopsy confirmation increases audit risk.
Mitigation Strategy
Ensure all GAVE diagnoses are supported by histological findings.
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 Gastric Antral Vascular Ectasia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Gastric Antral Vascular Ectasia
Use these documentation templates to ensure complete and accurate documentation for Gastric Antral Vascular Ectasia. These templates include all required elements for proper coding and billing.
Gastroenterology consultation for GAVE
Specialty: GastroenterologyRequired Elements
- Patient history
- Endoscopic findings
- Histological results
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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