ICD-10 Coding for Ogilvie Syndrome(K59.81)
Complete ICD-10-CM coding and documentation guide for Ogilvie Syndrome. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Ogilvie Syndrome
K59.8-K59.81Primary Range
Other specified functional intestinal disorders
This range includes Ogilvie syndrome as a specific condition under functional intestinal disorders.
Key Information: ICD-10 code for Ogilvie syndrome
Essential facts and insights about Ogilvie Syndrome
Primary ICD-10-CM Code for ogilvie syndrome
Decision Criteria
clinical Criteria
- Colonic dilation >9 cm without mechanical obstruction
coding Criteria
- Use K59.81 when pseudo-obstruction is confirmed
documentation Criteria
- Document imaging findings and absence of mechanical causes
Applicable To
- Acute colonic pseudo-obstruction
Excludes
- Mechanical bowel obstruction (K56.609)
Clinical Validation Requirements
- Colonic dilation >9 cm on imaging
- Absence of mechanical obstruction confirmed by imaging
Code-Specific Risks
- Confusion with mechanical obstruction codes
- Missing underlying conditions
Coding Notes
- Ensure documentation specifies absence of mechanical obstruction and includes imaging findings.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Hypokalemia
E87.6Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Ogilvie Syndrome to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K59.81.
Impact
Clinical: Misdiagnosis risk, Regulatory: Non-compliance with coding standards, Financial: Potential reimbursement issues
Mitigation Strategy
Ensure imaging reports are included, Clarify diagnosis in clinical notes
Impact
Reimbursement: Incorrect DRG assignment, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate clinical data representation
Mitigation Strategy
Confirm pseudo-obstruction and use K59.81
Impact
Using unspecified obstruction codes for confirmed Ogilvie syndrome
Mitigation Strategy
Educate coders on differentiation criteria and 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 Ogilvie Syndrome, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Ogilvie Syndrome
Use these documentation templates to ensure complete and accurate documentation for Ogilvie Syndrome. These templates include all required elements for proper coding and billing.
Postoperative Ogilvie Syndrome
Specialty: SurgeryRequired Elements
- Diagnosis of Ogilvie syndrome
- Imaging findings
- Cecal diameter
- Absence of mechanical obstruction
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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