ICD-10 Coding for Guaiac Positive Stool(R19.5, K92.1)
Complete ICD-10-CM coding and documentation guide for Guaiac Positive Stool. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Guaiac Positive Stool
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| R19.5 | Other fecal abnormalities | Use when stool is guaiac positive without visible bleeding. |
|
| K92.1 | Melena | Use when there is documented or visible bleeding in the stool. |
|
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 guaiac positive stool
Essential facts and insights about Guaiac Positive Stool
Primary ICD-10-CM Codes for guaiac positive stool
Decision Criteria
clinical Criteria
- Positive guaiac test without visible bleeding.
documentation Criteria
- Dietary restrictions followed prior to test.
Applicable To
- Guaiac positive stool
- Occult blood in stool
Excludes
- Melena (K92.1)
Clinical Validation Requirements
- Positive guaiac test results
- Documentation of dietary restrictions followed
Code-Specific Risks
- Incorrectly coding as K92.1 without evidence of bleeding.
Coding Notes
- Ensure documentation specifies 'guaiac positive' and dietary compliance.
K92.1 - Melena
Use when there is documented or visible bleeding in the stool.
Applicable To
- Black tarry stools
Excludes
- Occult blood in stool (R19.5)
Clinical Validation Requirements
- Documented bleeding in stool
- Clinical signs of melena
Coding Notes
Ensure bleeding is documented.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Guaiac Positive Stool to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R19.5.
Impact
Clinical: May lead to false positive interpretation., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims.
Mitigation Strategy
Standardize dietary instructions., Verify compliance before test.
Impact
Reimbursement: Incorrect DRG assignment may affect payment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use R19.5 if no bleeding is documented.
Impact
Improper documentation of test preparation.
Mitigation Strategy
Ensure all dietary and medication restrictions are documented.
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 Guaiac Positive Stool, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Guaiac Positive Stool
Use these documentation templates to ensure complete and accurate documentation for Guaiac Positive Stool. These templates include all required elements for proper coding and billing.
Routine Screening
Specialty: GastroenterologyRequired Elements
- Test method
- Number of samples
- Dietary compliance
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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