ICD-10 Coding for Right Hemicolectomy(0DTF4ZZ)
Complete ICD-10-CM coding and documentation guide for Right Hemicolectomy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Right Hemicolectomy
0DTF4ZZ-0DTF0ZZPrimary Range
ICD-10-PCS codes for right hemicolectomy procedures
These codes cover the surgical resection of the right large intestine, including laparoscopic and open approaches.
Key Information: ICD-10 code for right hemicolectomy
Essential facts and insights about Right Hemicolectomy
Primary ICD-10-CM Code for right hemicolectomy
Decision Criteria
clinical Criteria
- Presence of documentation specifying laparoscopic approach
documentation Criteria
- Operative note must specify 'right hemicolectomy'
Applicable To
- Laparoscopic right hemicolectomy
Excludes
- Open right hemicolectomy
Clinical Validation Requirements
- Operative report specifying 'right colon' or 'cecum/ascending colon/hepatic flexure'
- Documentation of 'laparoscopic' or 'robot-assisted' approach
Code-Specific Risks
- Incorrectly coding open procedures as laparoscopic
Coding Notes
- Ensure the operative report specifies the approach and laterality.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Omentectomy, Open Approach
0D5F0ZZDifferential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Resection of Right Large Intestine, Open Approach
0DTF0ZZDocumentation & Coding Risks
Avoid these common documentation and coding issues when documenting Right Hemicolectomy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code 0DTF4ZZ.
Impact
Clinical: Potential misinterpretation of surgical site., Regulatory: Non-compliance with documentation standards., Financial: Risk of denied claims.
Mitigation Strategy
Standardize operative note templates, Conduct regular documentation audits
Impact
Reimbursement: Incorrect DRG assignment leading to potential underpayment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data reporting affecting clinical statistics.
Mitigation Strategy
Ensure documentation specifies the approach clearly.
Impact
Inadequate documentation of surgical approach can lead to audit findings.
Mitigation Strategy
Ensure all operative notes specify the surgical approach.
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 Right Hemicolectomy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Right Hemicolectomy
Use these documentation templates to ensure complete and accurate documentation for Right Hemicolectomy. These templates include all required elements for proper coding and billing.
Laparoscopic Right Hemicolectomy
Specialty: General SurgeryRequired Elements
- Procedure description
- Specimen details
- Approach
- Anastomosis type
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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