ICD-10 Coding for Latex Allergy(Z91.040, T78.2XXA)
Complete ICD-10-CM coding and documentation guide for Latex Allergy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Latex Allergy
Z91.0-Z91.09Primary Range
Personal history of allergy to medicinal agents
This range includes codes for personal history of allergies, with Z91.040 specifically for latex allergy.
Adverse effects, not elsewhere classified
This range includes codes for allergic reactions, including anaphylaxis due to latex.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| Z91.040 | Latex allergy status | Use when documenting a patient's known latex allergy status. |
|
| T78.2XXA | Anaphylactic shock, unspecified | Use for acute anaphylactic reactions due to latex exposure. |
|
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 latex allergy
Essential facts and insights about Latex Allergy
Primary ICD-10-CM Codes for latex allergy
Decision Criteria
clinical Criteria
- Confirmed latex allergy via testing
documentation Criteria
- Detailed reaction history and testing results
Applicable To
- Allergy to latex
- Allergy to rubber
Excludes
- Anaphylactic reaction due to latex (T78.2XXA)
Clinical Validation Requirements
- Documented history of latex allergy
- Positive skin prick test or IgE test for latex
Code-Specific Risks
- Using as a principal diagnosis
- Not linking to specific reactions
Coding Notes
- Ensure documentation specifies 'latex' to avoid miscoding.
T78.2XXA - Anaphylactic shock, unspecified
Use for acute anaphylactic reactions due to latex exposure.
Applicable To
- Anaphylactic reaction due to latex
Excludes
- Latex allergy status without reaction (Z91.040)
Clinical Validation Requirements
- Documented anaphylactic reaction
- Clinical signs of anaphylaxis (e.g., hypotension, urticaria)
Coding Notes
Ensure anaphylaxis is documented with clinical criteria.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Allergic contact dermatitis due to plants, except food
L23.7Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Latex Allergy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z91.040.
Impact
Clinical: May lead to inappropriate management., Regulatory: Non-compliance with documentation standards., Financial: Potential for claim denial.
Mitigation Strategy
Educate staff on specific documentation requirements, Use templates that prompt for specific allergen
Impact
Reimbursement: May lead to claim denial or reduced payment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate representation of patient condition.
Mitigation Strategy
Use as a secondary code; primary code should reflect the reason for the encounter.
Impact
Using Z91.040 as a primary diagnosis can trigger audits.
Mitigation Strategy
Ensure Z91.040 is used as a secondary code.
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 Latex Allergy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Latex Allergy
Use these documentation templates to ensure complete and accurate documentation for Latex Allergy. These templates include all required elements for proper coding and billing.
Preoperative evaluation with latex precautions
Specialty: SurgeryRequired Elements
- Allergy status
- Specific precautions taken
- Documentation of latex-free products
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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