ICD-10 Coding for Irritable Bowel Syndrome with Diarrhea(K58.0)
Complete ICD-10-CM coding and documentation guide for Irritable Bowel Syndrome with Diarrhea. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Irritable Bowel Syndrome with Diarrhea
Key Information: ICD-10 code for IBS with diarrhea
Essential facts and insights about Irritable Bowel Syndrome with Diarrhea
Primary ICD-10-CM Code for irritable bowel syndrome with diarrhea
Decision Criteria
clinical Criteria
- Presence of Rome IV criteria and absence of alarm features.
coding Criteria
- Diarrhea is the predominant symptom.
Clinical Validation Requirements
- Rome IV criteria: Recurrent abdominal pain at least 1 day per week in the last 3 months, associated with two or more of the following: improvement with defecation, change in stool frequency, change in stool form.
- Bristol Stool Scale type 6-7 for at least 25% of stools.
Code-Specific Risks
- Incorrectly coding as K58.9 (IBS unspecified) when diarrhea is predominant.
Coding Notes
- Ensure documentation meets Rome IV criteria and excludes alarm features.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Unspecified anxiety disorder
F41.9Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Functional diarrhea
K59.1Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Irritable Bowel Syndrome with Diarrhea to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K58.0.
Impact
Clinical: Misdiagnosis of IBS-D., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Use structured templates for documentation., Regular training on Rome IV criteria.
Impact
Reimbursement: Potential underpayment due to incorrect DRG assignment., Compliance: Increased audit risk for incorrect coding., Data Quality: Inaccurate clinical data affecting patient care.
Mitigation Strategy
Ensure documentation specifies diarrhea as the predominant symptom to use K58.0.
Impact
Lack of specific documentation for IBS-D criteria.
Mitigation Strategy
Implement regular audits and training on documentation requirements.
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 Irritable Bowel Syndrome with Diarrhea, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Irritable Bowel Syndrome with Diarrhea
Use these documentation templates to ensure complete and accurate documentation for Irritable Bowel Syndrome with Diarrhea. These templates include all required elements for proper coding and billing.
Chronic diarrhea with abdominal pain
Specialty: GastroenterologyRequired Elements
- Rome IV criteria
- Bristol Stool Scale documentation
- Exclusion of alarm features
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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