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ICD-10 Coding for History of Crohn's Disease(Z87.19)

Complete ICD-10-CM coding and documentation guide for History of Crohn's Disease. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Past Crohn's DiseaseResolved Crohn's Disease

Related ICD-10 Code Ranges

Complete code families applicable to History of Crohn's Disease

Z87.19Primary Range

Personal history of other diseases of the digestive system

This code is used to indicate a personal history of Crohn's disease when the condition is no longer active.

Crohn's disease [regional enteritis]

This range includes active Crohn's disease codes, which are relevant for differential diagnosis.

Key Information: ICD-10 code for history of Crohn's disease

Essential facts and insights about History of Crohn's Disease

The ICD-10 code for a history of Crohn's disease is Z87.19, indicating the condition is no longer active.

Primary ICD-10-CM Code for history of crohn's disease

Personal history of other diseases of the digestive system
Billable Code

Decision Criteria

documentation Criteria

  • Patient record must state 'history of Crohn's disease' and confirm no active symptoms.

Applicable To

  • History of Crohn's disease

Excludes

  • Active Crohn's disease (K50.-)

Clinical Validation Requirements

  • Documentation of resolved Crohn's disease
  • No current symptoms or treatment for Crohn's

Code-Specific Risks

  • Misclassification as active disease if not clearly documented as history

Coding Notes

  • Ensure documentation clearly states 'history of' to avoid coding errors.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Family history of other digestive disorders

Z82.8A
Use when documenting family history of Crohn's disease.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Crohn's disease, unspecified, without complications

K50.90
Use K50.90 for active disease; Z87.19 for historical cases.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting History of Crohn's Disease to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z87.19.

Impact

Clinical: Leads to incorrect treatment assumptions., Regulatory: May result in audit discrepancies., Financial: Affects billing accuracy.

Mitigation Strategy

Educate staff on documentation standards, Implement checklist for historical conditions

Impact

Reimbursement: Incorrect coding may lead to improper reimbursement., Compliance: Misclassification can result in compliance issues., Data Quality: Affects the accuracy of patient records and data analytics.

Mitigation Strategy

Ensure documentation specifies 'history of' to use Z87.19.

Impact

Incorrect coding of historical conditions as active can lead to audit issues.

Mitigation Strategy

Regular training on documentation and coding standards.

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 Crohn's Disease, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for History of Crohn's Disease

Use these documentation templates to ensure complete and accurate documentation for History of Crohn's Disease. These templates include all required elements for proper coding and billing.

Follow-up visit for a patient with a history of Crohn's disease

Specialty: Gastroenterology

Required Elements

  • Patient history
  • Current symptoms
  • Past treatment details
  • Current status

Example Documentation

Patient has a history of Crohn's disease, currently in remission. No active symptoms.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has Crohn's disease.
Good Documentation Example
Patient has a history of Crohn's disease, currently asymptomatic.
Explanation
The good example clearly indicates the condition is historical, preventing coding errors.

Need help with ICD-10 coding for History of Crohn's Disease? Ask your questions below.

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