ICD-10 Coding for History of Colitis(K51.90, Z87.19)
Complete ICD-10-CM coding and documentation guide for History of Colitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to History of Colitis
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| K51.90 | Ulcerative colitis, unspecified, without complications | Use when ulcerative colitis is in remission without surgical intervention. |
|
| Z87.19 | Personal history of other diseases of the digestive system | Use when the patient has undergone curative surgery for colitis. |
|
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 history of colitis
Essential facts and insights about History of Colitis
Primary ICD-10-CM Codes for history of colitis
Decision Criteria
clinical Criteria
- Patient is in remission without surgical history.
documentation Criteria
- Colonoscopy confirms remission.
Applicable To
- Ulcerative colitis in remission
Excludes
- Crohn's disease (K50.-)
Clinical Validation Requirements
- Colonoscopy findings showing no active disease
- CRP and ESR within normal limits
Code-Specific Risks
- Incorrectly coding as history when no surgery has occurred.
Coding Notes
- Ensure documentation specifies remission status and absence of surgery.
Z87.19 - Personal history of other diseases of the digestive system
Use when the patient has undergone curative surgery for colitis.
Applicable To
- History of colitis post-surgery
Excludes
- Current ulcerative colitis (K51.-)
Clinical Validation Requirements
- Documentation of total colectomy
- No active disease post-surgery
Coding Notes
Ensure surgical history is documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting History of Colitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K51.90.
Impact
Clinical: Misrepresentation of patient status., Regulatory: Non-compliance with ICD-10 guidelines., Financial: Potential reimbursement issues.
Mitigation Strategy
Clarify remission status or surgical history., Educate providers on documentation standards.
Impact
Reimbursement: Incorrect DRG assignment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records.
Mitigation Strategy
Use K51.- with remission status.
Impact
Using Z87.19 without surgical confirmation.
Mitigation Strategy
Ensure documentation of surgical history before coding.
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 History of Colitis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for History of Colitis
Use these documentation templates to ensure complete and accurate documentation for History of Colitis. These templates include all required elements for proper coding and billing.
Post-surgical follow-up for ulcerative colitis
Specialty: GastroenterologyRequired Elements
- Surgical history
- Current symptoms
- Follow-up plan
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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