ICD-10 Coding for Uvulitis(K12.2)
Complete ICD-10-CM coding and documentation guide for Uvulitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Uvulitis
K12-K14Primary Range
Diseases of oral soft tissues
This range includes conditions affecting the oral cavity, including uvulitis.
Acute upper respiratory infections
Relevant for differential diagnosis when uvulitis is part of a broader upper respiratory infection.
Adverse effects, not elsewhere classified
Includes allergic reactions such as angioedema, which can mimic uvulitis.
Key Information: ICD-10 code for uvulitis
Essential facts and insights about Uvulitis
Primary ICD-10-CM Code for uvulitis
Decision Criteria
clinical Criteria
- Presence of purulent exudate and positive rapid strep test
documentation Criteria
- Documented erythematous and edematous uvula
Applicable To
- Uvulitis
Excludes
- Angioedema (T78.3)
Clinical Validation Requirements
- Purulent uvular swelling
- Concurrent oral cellulitis
- Infectious etiology confirmed by lab tests
Code-Specific Risks
- Misclassification if non-infectious causes are present
- Excludes angioedema which requires T78.3
Coding Notes
- Ensure documentation specifies infectious etiology to avoid misclassification.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Streptococcus, group A, as the cause of diseases classified elsewhere
B95.0Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Uvulitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K12.2.
Impact
Clinical: May lead to inappropriate treatment if etiology is unclear., Regulatory: Non-compliance with coding guidelines requiring specificity., Financial: Potential claim denials due to lack of specificity.
Mitigation Strategy
Always document lab results and clinical findings, Use specific terminology for infectious vs. allergic causes
Impact
Reimbursement: May result in lower reimbursement due to less specific coding., Compliance: Non-compliance with ICD-10 specificity requirements., Data Quality: Impacts accuracy of clinical data for research and reporting.
Mitigation Strategy
Ensure specific documentation of uvulitis to use K12.2.
Impact
Risk of audits due to non-specific coding of uvulitis.
Mitigation Strategy
Ensure detailed documentation of clinical findings and lab results.
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 Uvulitis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Uvulitis
Use these documentation templates to ensure complete and accurate documentation for Uvulitis. These templates include all required elements for proper coding and billing.
Infectious uvulitis in emergency department
Specialty: Emergency MedicineRequired Elements
- Patient history of acute onset
- Physical exam findings
- Laboratory results
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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