ICD-10 Coding for Milk Allergy(Z91.011)
Complete ICD-10-CM coding and documentation guide for Milk Allergy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Milk Allergy
Z91.01-Z91.02Primary Range
Personal history of allergy to milk products
This range includes codes for documenting a patient's history of milk allergy.
Lactose intolerance
This range is relevant for differentiating lactose intolerance from milk allergy.
Key Information: ICD-10 code for milk allergy
Essential facts and insights about Milk Allergy
Primary ICD-10-CM Code for milk allergy
Decision Criteria
clinical Criteria
- Presence of IgE-mediated hypersensitivity symptoms
documentation Criteria
- Documented positive SPT or IgE test
Applicable To
- IgE-mediated milk allergy
Excludes
- Lactose intolerance (E73.-)
Clinical Validation Requirements
- Positive skin prick test (SPT) or serum IgE
- Documented reaction to oral food challenge
Code-Specific Risks
- Confusion with lactose intolerance coding
Coding Notes
- Ensure documentation specifies IgE-mediated allergy to avoid confusion with lactose intolerance.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Other adverse food reactions, not elsewhere classified
T78.1XXADifferential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Lactose intolerance, unspecified
E73.9Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Milk Allergy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z91.011.
Impact
Clinical: Misrepresents the patient's condition., Regulatory: Non-compliance with coding guidelines., Financial: Potential claim denials.
Mitigation Strategy
Verify allergy type before coding., Educate staff on differences between allergy and intolerance.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Misclassification affects compliance with coding standards., Data Quality: Impacts the accuracy of patient health records.
Mitigation Strategy
Ensure documentation specifies IgE-mediated allergy and not enzyme deficiency.
Impact
Using lactose intolerance codes for milk allergy.
Mitigation Strategy
Regular training on allergy vs. intolerance coding.
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 Milk Allergy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Milk Allergy
Use these documentation templates to ensure complete and accurate documentation for Milk Allergy. These templates include all required elements for proper coding and billing.
Patient with confirmed milk allergy
Specialty: Allergy and ImmunologyRequired Elements
- Patient history of reactions
- Positive diagnostic test results
- Management plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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