ICD-10 Coding for Ileitis(K50.01, K51.014)
Complete ICD-10-CM coding and documentation guide for Ileitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Ileitis
K50-K52Primary Range
Diseases of the intestines
This range includes codes for inflammatory bowel diseases, infections, and other noninfective gastroenteritis and colitis, which are relevant for coding ileitis.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| K50.01 | Crohn's disease of small intestine with complications | Use when Crohn's disease is confirmed as the etiology of ileitis with complications like strictures or fistulas. |
|
| K51.014 | Ulcerative colitis with backwash ileitis | Use when ulcerative colitis is documented with backwash ileitis. |
|
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 ileitis
Essential facts and insights about Ileitis
Primary ICD-10-CM Codes for ileitis
Decision Criteria
clinical Criteria
- Presence of transmural inflammation and skip lesions
Applicable To
- Crohn's ileitis with complications
Excludes
- Ulcerative colitis with backwash ileitis (K51.014)
Clinical Validation Requirements
- Transmural inflammation
- Discontinuous/skip lesions
- Perianal involvement
Code-Specific Risks
- Ensure complications are documented to justify this code.
Coding Notes
- Ensure documentation specifies Crohn's disease and any complications present.
K51.014 - Ulcerative colitis with backwash ileitis
Use when ulcerative colitis is documented with backwash ileitis.
Applicable To
- Backwash ileitis in ulcerative colitis
Excludes
- Crohn's disease (K50.-)
Clinical Validation Requirements
- Continuous inflammation from cecum into ileum
- No small bowel strictures
Coding Notes
Backwash ileitis should be documented as part of ulcerative colitis.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Partial intestinal obstruction
K56.690Differential 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 Ileitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K50.01.
Impact
Clinical: May lead to inadequate treatment planning., Regulatory: Non-compliance with coding standards., Financial: Potential loss of reimbursement for complications.
Mitigation Strategy
Use detailed templates, Regular training on documentation standards
Impact
Reimbursement: May result in lower reimbursement if specific codes are not used., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Use specific codes like K50.01 or K51.014 when etiology is known.
Impact
Failure to document complications can lead to audit issues.
Mitigation Strategy
Implement thorough documentation practices and regular audits.
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 Ileitis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Ileitis
Use these documentation templates to ensure complete and accurate documentation for Ileitis. These templates include all required elements for proper coding and billing.
Gastroenterology Progress Note
Specialty: GastroenterologyRequired Elements
- Location of inflammation
- Endoscopic features
- Histologic findings
- Complications
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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