ICD-10 Coding for Painless Rectal Bleeding(K62.5)
Complete ICD-10-CM coding and documentation guide for Painless Rectal Bleeding. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Painless Rectal Bleeding
Key Information: ICD-10 code for painless rectal bleeding
Essential facts and insights about Painless Rectal Bleeding
Primary ICD-10-CM Code for painless rectal bleeding
Decision Criteria
clinical Criteria
- Presence of bright red blood without pain or other symptoms
documentation Criteria
- Explicit documentation of bleeding as painless and without identified source
Applicable To
- Painless rectal bleeding
- Bright red blood per rectum
Clinical Validation Requirements
- Bright red blood separate from stool
- Normal hemoglobin levels (>12 g/dL)
- No abdominal pain or weight loss
Code-Specific Risks
- Misclassification if hemorrhoids are present but not the source of bleeding.
Coding Notes
- Ensure documentation specifies 'painless' and 'separate from stool' to support K62.5.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Other fecal abnormalities
R19.5Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Painless Rectal Bleeding to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K62.5.
Impact
Clinical: May lead to incorrect diagnosis and treatment., Regulatory: Potential for audit and compliance issues., Financial: Incorrect billing and reimbursement.
Mitigation Strategy
Thorough examination and documentation, Provider queries for clarification
Impact
Reimbursement: May lead to incorrect DRG assignment and lower reimbursement., Compliance: Could result in coding errors and potential audits., Data Quality: Affects the accuracy of clinical data and patient records.
Mitigation Strategy
Query the provider to confirm the source of bleeding.
Impact
Using K62.5 without confirming the absence of other sources.
Mitigation Strategy
Ensure thorough documentation and provider confirmation.
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 Painless Rectal Bleeding, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Painless Rectal Bleeding
Use these documentation templates to ensure complete and accurate documentation for Painless Rectal Bleeding. These templates include all required elements for proper coding and billing.
Painless rectal bleeding without identified source
Specialty: GastroenterologyRequired Elements
- Patient history of bleeding
- Physical examination findings
- Laboratory results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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