ICD-10 Coding for Primary Sclerosing Cholangitis(K83.01)
Complete ICD-10-CM coding and documentation guide for Primary Sclerosing Cholangitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Primary Sclerosing Cholangitis
K80-K87Primary Range
Disorders of gallbladder, biliary tract and pancreas
This range includes codes for biliary tract disorders, including primary sclerosing cholangitis.
Key Information: ICD-10 code for primary sclerosing cholangitis
Essential facts and insights about Primary Sclerosing Cholangitis
Primary ICD-10-CM Code for primary sclerosing cholangitis
Decision Criteria
clinical Criteria
- MRCP showing strictures and elevated ALP
documentation Criteria
- Exclusion of secondary causes like IgG4-SC
Applicable To
- Chronic cholangitis with fibrosis
Excludes
- IgG4-related sclerosing cholangitis
Clinical Validation Requirements
- MRCP/ERCP showing ≥2 strictures
- ALP > 1.5x ULN for >6 months
- Exclusion of IgG4-SC
Code-Specific Risks
- Misclassification if secondary causes are not excluded.
Coding Notes
- Ensure exclusion of secondary causes and document imaging findings.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Other cholangitis
K83.09Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Primary Sclerosing Cholangitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K83.01.
Impact
Clinical: Incomplete clinical picture., Regulatory: Potential audit issues., Financial: Missed reimbursement opportunities.
Mitigation Strategy
Review patient history for IBD., Ensure all comorbidities are coded.
Impact
Reimbursement: May lead to incorrect DRG assignment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure specific documentation of PSC with imaging findings.
Impact
Lack of detailed imaging reports can lead to audit issues.
Mitigation Strategy
Ensure all imaging findings are documented in detail.
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 Primary Sclerosing Cholangitis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Primary Sclerosing Cholangitis
Use these documentation templates to ensure complete and accurate documentation for Primary Sclerosing Cholangitis. These templates include all required elements for proper coding and billing.
Initial diagnosis of PSC
Specialty: GastroenterologyRequired Elements
- Patient history
- Imaging results
- Biopsy findings
- Exclusion of secondary causes
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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