ICD-10 Coding for Gluten Enteropathy(K90.0, K90.41)
Complete ICD-10-CM coding and documentation guide for Gluten Enteropathy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Gluten Enteropathy
K90.0-K90.49Primary Range
Malabsorption due to intolerance, including celiac disease
This range includes codes for celiac disease and related malabsorption conditions.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| K90.0 | Celiac disease | Use when celiac disease is confirmed by biopsy and serology. |
|
| K90.41 | Non-celiac gluten sensitivity | Use when gluten sensitivity is diagnosed without biopsy confirmation of celiac. |
|
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 celiac disease
Essential facts and insights about Gluten Enteropathy
Primary ICD-10-CM Codes for gluten enteropathy
Decision Criteria
clinical Criteria
- Biopsy confirms Marsh 3 lesion
Applicable To
- Gluten-sensitive enteropathy
Excludes
- Non-celiac gluten sensitivity (K90.41)
Clinical Validation Requirements
- Positive serology (tTG-IgA >10x ULN)
- Duodenal biopsy showing Marsh 3c villous atrophy
Code-Specific Risks
- Misuse without biopsy confirmation
Coding Notes
- Ensure documentation of biopsy and serology results.
K90.41 - Non-celiac gluten sensitivity
Use when gluten sensitivity is diagnosed without biopsy confirmation of celiac.
Applicable To
- Gluten intolerance without celiac disease
Excludes
- Celiac disease (K90.0)
Clinical Validation Requirements
- Negative biopsy
- Positive symptoms with HLA/DGP testing
Coding Notes
Ensure documentation of negative biopsy and symptomatology.
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 Gluten Enteropathy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K90.0.
Impact
Clinical: Misdiagnosis of celiac disease., Regulatory: Non-compliance with coding standards., Financial: Potential reimbursement issues.
Mitigation Strategy
Verify biopsy results before coding, Educate staff on documentation requirements
Impact
Reimbursement: Incorrect DRG assignment may affect reimbursement., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate patient records and statistics.
Mitigation Strategy
Use K90.41 for non-celiac gluten sensitivity when biopsy is negative.
Impact
Lack of biopsy documentation for celiac disease coding.
Mitigation Strategy
Ensure biopsy reports are included in patient records.
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 Gluten Enteropathy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Gluten Enteropathy
Use these documentation templates to ensure complete and accurate documentation for Gluten Enteropathy. These templates include all required elements for proper coding and billing.
Diagnosis of celiac disease
Specialty: GastroenterologyRequired Elements
- Biopsy results
- Serology results
- Family history
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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