ICD-10 Coding for Lymphocytic Colitis(K52.832)
Complete ICD-10-CM coding and documentation guide for Lymphocytic Colitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Lymphocytic Colitis
Key Information: ICD-10 code for lymphocytic colitis
Essential facts and insights about Lymphocytic Colitis
Primary ICD-10-CM Code for lymphocytic colitis
Decision Criteria
clinical Criteria
- Biopsy confirms lymphocytic infiltration.
coding Criteria
- Use K52.832 as primary unless drug-induced.
Applicable To
- Lymphocytic infiltration in lamina propria
Clinical Validation Requirements
- Biopsy showing ≥20 intraepithelial lymphocytes per 100 epithelial cells
- Normal colonoscopy findings
- Exclusion of infectious causes
Code-Specific Risks
- Misclassification with collagenous colitis
- Incorrect use without biopsy confirmation
Coding Notes
- Ensure biopsy confirmation is documented to support the use of K52.832.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Diarrhea, unspecified
R19.7Differential 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 Lymphocytic Colitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K52.832.
Impact
Clinical: May lead to incorrect treatment plans., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials due to lack of supporting documentation.
Mitigation Strategy
Always review and document medication history., Query for clarification if drug-induced colitis is suspected.
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Non-compliance with coding specificity requirements., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Query provider for specific type of colitis based on biopsy.
Impact
Lack of biopsy confirmation for lymphocytic colitis coding.
Mitigation Strategy
Ensure biopsy reports are included in patient records and claims.
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 Lymphocytic Colitis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Lymphocytic Colitis
Use these documentation templates to ensure complete and accurate documentation for Lymphocytic Colitis. These templates include all required elements for proper coding and billing.
Chronic diarrhea with biopsy-confirmed lymphocytic colitis
Specialty: GastroenterologyRequired Elements
- History of present illness
- Medication review
- Colonoscopy results
- Biopsy findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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