ICD-10 Coding for Slow Transit Constipation(K59.01, K59.00)
Complete ICD-10-CM coding and documentation guide for Slow Transit Constipation. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Slow Transit Constipation
K59.0-K59.09Primary Range
Functional intestinal disorders, including constipation
This range includes codes for various types of constipation, including slow transit constipation.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| K59.01 | Slow transit constipation | Use when slow transit constipation is confirmed by diagnostic tests and documented appropriately. |
|
| K59.00 | Constipation, unspecified | Use when constipation is documented but not yet specified as slow transit or another type. |
|
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 slow transit constipation
Essential facts and insights about Slow Transit Constipation
Primary ICD-10-CM Codes for slow transit constipation
Decision Criteria
clinical Criteria
- Delayed colonic transit confirmed by diagnostic testing
documentation Criteria
- Chronicity and specific symptoms documented according to Rome IV criteria
Applicable To
- Chronic constipation with delayed colonic transit
Clinical Validation Requirements
- Delayed colonic transit confirmed by Sitzmark test
- Absence of pelvic floor dysfunction on anorectal manometry
- Chronic symptoms >6 months with ≥2 Rome IV criteria met
Code-Specific Risks
- Risk of using unspecified codes leading to lower reimbursement
Coding Notes
- Ensure documentation specifies slow transit type and excludes other causes like drug-induced or outlet dysfunction.
K59.00 - Constipation, unspecified
Use when constipation is documented but not yet specified as slow transit or another type.
Applicable To
- General constipation without further specification
Excludes
- Specific types of constipation like slow transit (K59.01)
Clinical Validation Requirements
- Initial diagnosis before specific testing
Coding Notes
Transition to a more specific code once further diagnostic information is available.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Drug-induced constipation
K59.03Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Hirschsprung's disease
Q43.1Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Slow Transit Constipation to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K59.01.
Impact
Clinical: May lead to inappropriate treatment plans., Regulatory: Increases risk of audit and non-compliance., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Ensure thorough diagnostic evaluation, Document specific findings and test results
Impact
Reimbursement: May result in lower reimbursement rates., Compliance: Increases risk of non-compliance with coding standards., Data Quality: Reduces specificity and accuracy of clinical data.
Mitigation Strategy
Ensure diagnostic tests confirm slow transit constipation before coding K59.01.
Impact
High risk of audit when unspecified codes are used inappropriately.
Mitigation Strategy
Ensure specific diagnostic criteria are met and documented before coding.
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 Slow Transit Constipation, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Slow Transit Constipation
Use these documentation templates to ensure complete and accurate documentation for Slow Transit Constipation. These templates include all required elements for proper coding and billing.
Chronic slow transit constipation diagnosis
Specialty: GastroenterologyRequired Elements
- Patient history
- Physical examination findings
- Diagnostic test results
- Assessment and plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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