ICD-10 Coding for Intussusception(K56.1, K91.30)
Complete ICD-10-CM coding and documentation guide for Intussusception. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Intussusception
K56-K56.9Primary Range
Paralytic ileus and intestinal obstruction without hernia
This range includes codes for various types of intestinal obstructions, including intussusception.
Intraoperative and postprocedural complications and disorders of digestive system
Relevant for coding postoperative intussusception.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| K56.1 | Intussusception | Use when intussusception is confirmed by imaging and is the primary reason for the encounter. |
|
| K91.30 | Postoperative intestinal obstruction | Use when intussusception is a complication following surgery. |
|
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 intussusception
Essential facts and insights about Intussusception
Primary ICD-10-CM Codes for intussusception
Decision Criteria
clinical Criteria
- Presence of 'target sign' on ultrasound
documentation Criteria
- Detailed note specifying type and confirmation method
Applicable To
- Ileocolic intussusception
- Enteroenteric intussusception
Excludes
- Postoperative intussusception (K91.30)
Clinical Validation Requirements
- Ultrasound showing 'target sign'
- CT scan with 'bowel-within-bowel' appearance
Code-Specific Risks
- Misidentifying the type of intussusception
- Omitting imaging confirmation
Coding Notes
- Ensure imaging confirmation is documented to support the use of K56.1.
K91.30 - Postoperative intestinal obstruction
Use when intussusception is a complication following surgery.
Applicable To
- Postoperative intussusception
Clinical Validation Requirements
- History of recent abdominal surgery
- Imaging confirming obstruction at surgical site
Coding Notes
Sequence as primary when postoperative complication is the main issue.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Postoperative intestinal obstruction
K91.30Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Intussusception to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K56.1.
Impact
Clinical: Leads to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Always include imaging results in documentation., Use templates to ensure completeness.
Impact
Reimbursement: May lead to denial of claims without proper documentation., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure ultrasound or CT confirmation is documented.
Impact
Lack of imaging confirmation in records.
Mitigation Strategy
Implement mandatory imaging documentation checks.
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 Intussusception, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Intussusception
Use these documentation templates to ensure complete and accurate documentation for Intussusception. These templates include all required elements for proper coding and billing.
Pediatric Intussusception
Specialty: PediatricsRequired Elements
- Patient age and symptoms
- Imaging findings
- Treatment method
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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