ICD-10 Coding for History of Diverticulitis(Z87.19)
Complete ICD-10-CM coding and documentation guide for History of Diverticulitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to History of Diverticulitis
Key Information: ICD-10 code for history of diverticulitis
Essential facts and insights about History of Diverticulitis
Primary ICD-10-CM Code for history of diverticulitis
Decision Criteria
clinical Criteria
- Patient has documented past episodes of diverticulitis confirmed by imaging or treatment.
documentation Criteria
- Records explicitly state 'history of diverticulitis'.
Applicable To
- History of diverticulitis
Excludes
- Current diverticulitis (K57.32)
Clinical Validation Requirements
- CT scan confirming past diverticulitis
- Documented antibiotic treatment for diverticulitis
- Surgical history indicating past diverticulitis
Code-Specific Risks
- Misuse for current diverticulitis
- Confusion with family history
Coding Notes
- Ensure documentation specifies 'history of diverticulitis' 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 diseases of digestive system
Z83.79Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Diverticulitis of large intestine without perforation or abscess
K57.32Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting History of Diverticulitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z87.19.
Impact
Clinical: Misrepresentation of patient's current health status., Regulatory: Non-compliance with ICD-10 coding standards., Financial: Potential claim rejections.
Mitigation Strategy
Verify current vs. past condition status, Consult clinical documentation
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient history records.
Mitigation Strategy
Use Z87.19 for personal history and Z83.79 for family history.
Impact
Confusion between coding for history and active conditions.
Mitigation Strategy
Regular training on ICD-10 updates and documentation 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 Diverticulitis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for History of Diverticulitis
Use these documentation templates to ensure complete and accurate documentation for History of Diverticulitis. These templates include all required elements for proper coding and billing.
Gastroenterology Progress Note
Specialty: GastroenterologyRequired Elements
- Patient history
- Current symptoms
- Past imaging results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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