Back to HomeBeta

ICD-10 Coding for Pancolitis(K51.00, K51.01)

Complete ICD-10-CM coding and documentation guide for Pancolitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Ulcerative PancolitisChronic Pancolitis

Quick Navigation

Related ICD-10 Code Ranges

Complete code families applicable to Pancolitis

K51.00-K51.01Primary Range

Ulcerative colitis, unspecified

This range includes codes specific to ulcerative pancolitis, both with and without complications.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
K51.00Ulcerative (chronic) pancolitis without complicationsUse when pancolitis is confirmed without any complications.
  • Colonoscopy showing continuous inflammation from cecum to rectum
  • Biopsy confirming ulcerative colitis features
K51.01Ulcerative (chronic) pancolitis with complicationsUse when pancolitis is confirmed with documented complications.
  • Colonoscopy showing continuous inflammation with complications like bleeding or abscess
  • Biopsy confirming ulcerative colitis features

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 pancolitis

Essential facts and insights about Pancolitis

The ICD-10 code for ulcerative pancolitis without complications is K51.00, and with complications is K51.01.

Primary ICD-10-CM Codes for pancolitis

K51.00
Ulcerative (chronic) pancolitis without complications
Billable Code

Decision Criteria

clinical Criteria

  • Colonoscopy and biopsy confirm ulcerative pancolitis without complications.

Applicable To

  • Chronic ulcerative pancolitis without complications

Excludes

  • Crohn's disease (K50.-)
  • Infectious colitis (A09)

Clinical Validation Requirements

  • Colonoscopy showing continuous inflammation from cecum to rectum
  • Biopsy confirming ulcerative colitis features

Code-Specific Risks

  • Misclassification if complications are present but not documented.

Coding Notes

  • Ensure documentation specifies 'ulcerative pancolitis' to avoid queries.
View Full Code Details

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Hemorrhage of rectum

K62.5
Use if active rectal bleeding is documented.

Iron deficiency anemia

D50.9
Use if anemia due to chronic blood loss is documented.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Crohn’s disease of unspecified site

K50.90
Crohn's disease often presents with skip lesions, unlike continuous inflammation in ulcerative colitis.

C. difficile colitis

A04.7
C. difficile colitis is confirmed by stool toxin assay.

Other specified noninfective gastroenteritis

K52.89
Used for non-specific colitis not meeting criteria for ulcerative colitis.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Pancolitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K51.00.

Impact

Clinical: Inadequate treatment planning., Regulatory: Non-compliance with coding standards., Financial: Potential loss of reimbursement for complications.

Mitigation Strategy

Ensure all complications are documented in detail.

Impact

Reimbursement: Incorrect coding can lead to reduced reimbursement., Compliance: Non-compliance with coding standards., Data Quality: Inaccurate clinical data affecting patient records.

Mitigation Strategy

Query for clarification if documentation is insufficient.

Impact

Failure to code documented complications.

Mitigation Strategy

Regular audits and coder training.

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 Pancolitis, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Pancolitis

Use these documentation templates to ensure complete and accurate documentation for Pancolitis. These templates include all required elements for proper coding and billing.

Ulcerative Pancolitis with Complications

Specialty: Gastroenterology

Required Elements

  • Diagnosis of ulcerative pancolitis
  • Description of complications
  • Treatment plan

Example Documentation

Patient diagnosed with ulcerative pancolitis with active rectal bleeding. Plan includes IV steroids and transfusion.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Pancolitis with bleeding.
Good Documentation Example
Ulcerative pancolitis with active rectal bleeding confirmed by colonoscopy.
Explanation
The good example specifies the type of pancolitis and confirms the complication with diagnostic evidence.

Need help with ICD-10 coding for Pancolitis? Ask your questions below.

Ask about any ICD-10 CM code, or paste a medical note

We build tools for
clinician happiness.

Learn More at Freed.ai
Back to HomeBeta

Built by Freed

Try Freed for free for 7 days.

Learn more

Helpful Links

How ICD 10 AI Lookup WorksContact UsPrivacy Policy