ICD-10 Coding for Pinworm Infection(B80)
Complete ICD-10-CM coding and documentation guide for Pinworm Infection. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Pinworm Infection
B80Primary Range
Enterobiasis
This code is used for confirmed cases of pinworm infection, identified by the presence of Enterobius vermicularis.
Key Information: ICD-10 code for pinworms
Essential facts and insights about Pinworm Infection
Primary ICD-10-CM Code for pinworms
Decision Criteria
clinical Criteria
- Presence of Enterobius vermicularis eggs or adult worms
documentation Criteria
- Detailed test results and collection methods
Applicable To
- Pinworm infection
Excludes
- Pruritus ani (L29.0) without confirmed pinworm infection
Clinical Validation Requirements
- Identification of Enterobius vermicularis eggs via perianal SWUBE paddle
- Visualization of adult pinworms during colonoscopy
Code-Specific Risks
- Incorrectly using B80 for suspected but unconfirmed cases
Coding Notes
- Ensure documentation includes specific test results confirming pinworm presence.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Pruritus ani
L29.0Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Pinworm Infection to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code B80.
Impact
Clinical: May lead to misdiagnosis., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Always include detailed test results., Use templates to ensure completeness.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data reporting.
Mitigation Strategy
Use Z03.89 for suspected conditions ruled out after testing.
Impact
Incomplete documentation of test results can trigger audits.
Mitigation Strategy
Use detailed templates and checklists.
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 Pinworm Infection, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Pinworm Infection
Use these documentation templates to ensure complete and accurate documentation for Pinworm Infection. These templates include all required elements for proper coding and billing.
Emergency Department Visit for Pinworm Infection
Specialty: PediatricsRequired Elements
- History of present illness
- Physical examination findings
- Laboratory test results
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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