ICD-10 Coding for Total Parenteral Nutrition Dependence(K91.2, K90.9)
Complete ICD-10-CM coding and documentation guide for Total Parenteral Nutrition Dependence. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Total Parenteral Nutrition Dependence
K90-K93Primary Range
Other diseases of intestines
This range includes codes for malabsorption and postsurgical conditions necessitating TPN.
Persons with potential health hazards related to family and personal history and certain conditions influencing health status
This range includes codes for encounters related to TPN management and device care.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| K91.2 | Postsurgical malabsorption, not elsewhere classified | Use when TPN is required due to postsurgical malabsorption. |
|
| K90.9 | Intestinal malabsorption, unspecified | Use when malabsorption is chronic and etiology is unspecified. |
|
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 TPN dependence
Essential facts and insights about Total Parenteral Nutrition Dependence
Primary ICD-10-CM Codes for total parenteral nutrition dependent
Decision Criteria
clinical Criteria
- Documented short bowel syndrome with TPN dependence
documentation Criteria
- Include operative report and nutritional assessments
Applicable To
- Short bowel syndrome
Excludes
- Celiac disease (K90.0)
Clinical Validation Requirements
- Operative report showing bowel length <200 cm
- Fecal fat >50% intake on 72hr test
Code-Specific Risks
- Incorrectly coding without surgical documentation
- Missing fecal fat test results
Coding Notes
- Ensure documentation includes surgical history and current nutritional status.
K90.9 - Intestinal malabsorption, unspecified
Use when malabsorption is chronic and etiology is unspecified.
Applicable To
- Chronic intestinal failure
Excludes
- Celiac disease (K90.0)
Clinical Validation Requirements
- Negative celiac/biopsy
- Serum albumin <3.4 g/dL
Coding Notes
Ensure comprehensive documentation of malabsorption symptoms and lab results.
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.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Total Parenteral Nutrition Dependence to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K91.2.
Impact
Clinical: Inadequate patient care planning., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Use specific clinical terms, Include lab results
Impact
Reimbursement: Claims may be denied due to lack of medical necessity., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate representation of patient condition.
Mitigation Strategy
Always code the underlying condition first, such as K91.2 or K90.9.
Impact
Lack of detailed documentation can lead to audit issues.
Mitigation Strategy
Ensure all clinical indicators and lab results are documented.
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 Total Parenteral Nutrition Dependence, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Total Parenteral Nutrition Dependence
Use these documentation templates to ensure complete and accurate documentation for Total Parenteral Nutrition Dependence. These templates include all required elements for proper coding and billing.
Post-surgical TPN dependence
Specialty: GastroenterologyRequired Elements
- Operative report
- Nutritional assessment
- Lab results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Total Parenteral Nutrition Dependence? Ask your questions below.