ICD-10 Coding for History of Small Bowel Obstruction(Z87.19)
Complete ICD-10-CM coding and documentation guide for History of Small Bowel Obstruction. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to History of Small Bowel Obstruction
Z87.19Primary Range
Personal history of other diseases of the digestive system
Used for documenting a resolved small bowel obstruction not actively treated during the encounter.
Key Information: ICD-10 code for history of small bowel obstruction
Essential facts and insights about History of Small Bowel Obstruction
Primary ICD-10-CM Code for history of small bowel obstruction
Decision Criteria
documentation Criteria
- Documentation must explicitly state 'history of small bowel obstruction'.
Applicable To
- History of small bowel obstruction
Excludes
- Current small bowel obstruction
Clinical Validation Requirements
- Explicit documentation of 'history of small bowel obstruction'
- Past imaging reports or surgical notes confirming resolved SBO
Code-Specific Risks
- Confusing personal history with a current condition
Coding Notes
- Ensure documentation clearly states 'history of' to avoid confusion with active conditions.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Adhesions with obstruction
K56.50Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Unspecified intestinal obstruction
K56.690Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting History of Small Bowel Obstruction to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z87.19.
Impact
Clinical: Misinterpretation of patient condition as active., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials or audits.
Mitigation Strategy
Educate clinicians on documentation standards., Implement documentation templates.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate patient records and data reporting.
Mitigation Strategy
Use Z87.19 for history of small bowel obstruction.
Impact
Using active obstruction codes for historical cases.
Mitigation Strategy
Educate coding staff on proper use of Z87.19 for history.
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 Small Bowel Obstruction, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for History of Small Bowel Obstruction
Use these documentation templates to ensure complete and accurate documentation for History of Small Bowel Obstruction. These templates include all required elements for proper coding and billing.
Routine follow-up for resolved SBO
Specialty: GastroenterologyRequired Elements
- Patient history
- Current symptoms
- Imaging review
- Assessment
- Plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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