ICD-10 Coding for Sigmoid Stricture(K56.609, K50.112, K91.89)
Complete ICD-10-CM coding and documentation guide for Sigmoid Stricture. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Sigmoid Stricture
K56-K57Primary Range
Other intestinal obstruction and hernia
This range includes codes for intestinal obstructions, including those caused by sigmoid strictures.
Noninfective enteritis and colitis
Includes codes for Crohn's disease, which can cause sigmoid strictures.
Intraoperative and postprocedural complications and disorders
Includes codes for postprocedural complications such as strictures following surgery.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| K56.609 | Unspecified intestinal obstruction | Use when the sigmoid stricture causes an obstruction, but the severity is unspecified. |
|
| K50.112 | Crohn’s disease of large intestine with obstruction | Use when the stricture is secondary to Crohn's disease. |
|
| K91.89 | Postprocedural complications | Use for strictures occurring as a complication post-surgery. |
|
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 sigmoid stricture
Essential facts and insights about Sigmoid Stricture
Primary ICD-10-CM Codes for sigmoid stricture
Decision Criteria
clinical Criteria
- Obstruction confirmed by imaging or endoscopy
Applicable To
- Sigmoid stricture causing unspecified obstruction
Excludes
- Obstruction due to adhesions (K56.50)
Clinical Validation Requirements
- CT scan showing obstruction
- Colonoscopy findings
Code-Specific Risks
- Misclassification if obstruction severity is known
Coding Notes
- Ensure documentation specifies the cause of obstruction.
K50.112 - Crohn’s disease of large intestine with obstruction
Use when the stricture is secondary to Crohn's disease.
Applicable To
- Sigmoid stricture due to Crohn's disease
Excludes
- Obstruction not due to Crohn's (K56.609)
Clinical Validation Requirements
- Diagnosis of Crohn's disease
- Imaging showing stricture
Coding Notes
Ensure Crohn's is documented as the cause.
K91.89 - Postprocedural complications
Use for strictures occurring as a complication post-surgery.
Applicable To
- Stricture after colectomy
Clinical Validation Requirements
- History of recent surgery
- Imaging showing stricture
Coding Notes
Document the surgical procedure and complication clearly.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Diarrhea/constipation
R19.7Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Sigmoid Stricture to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K56.609.
Impact
Clinical: May lead to inappropriate treatment, Regulatory: Non-compliance with documentation standards, Financial: Potential for incorrect billing and reimbursement
Mitigation Strategy
Ensure thorough documentation of patient history, Include all relevant diagnostic findings
Impact
Reimbursement: May affect DRG assignment and reimbursement levels., Compliance: Could lead to non-compliance with coding guidelines., Data Quality: Reduces the accuracy of clinical data.
Mitigation Strategy
Use specific codes like K50.112 for Crohn's-related strictures.
Impact
Frequent use of unspecified codes may trigger audits.
Mitigation Strategy
Ensure documentation supports specific code selection.
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 Sigmoid Stricture, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Sigmoid Stricture
Use these documentation templates to ensure complete and accurate documentation for Sigmoid Stricture. These templates include all required elements for proper coding and billing.
Crohn’s-related stricture
Specialty: GastroenterologyRequired Elements
- Patient history
- Imaging results
- Endoscopy findings
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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