Gastrointestinal Gastrointestinal

Description ICD10-CM Documentation Tips Description ICD10-CM Documentation Tips ABDOMINAL PAIN Code Tip GERD Code Tip Left upper quadrant pain R10.12 Indicate pain, tenderness or rebound Gastro-esophageal reflux disease K21.9 Indicate with or without esophagitis with or without tenderness without esophagitis Indicate location: quadrant, Esophageal reflux NOS epigastric, umbilical, generalized Right lower quadrant pain R10.31 GERD with esophagitis K21.0 Upper abdominal pain, unspecified R10.10 IBS Code Tip

Right lower quadrant rebound R10.823 Irritable bowel syndrome with K58.0 Indicate with or without diarrhea abdominal tenderness diarrhea CHOLELITHIASIS Code Tip Irritable bowel syndrome without K58.9 diarrhea Calculus of gallbladder with acute K80.00 Indicate with or without obstruction, POLYPS Code Tip cholecystitis w/o obstruction acute, chronic or both

Calculus of gallbladder w/o K80.21 Inflammatory polyps of colon with K51.412 Indicate with or without bleeding, cholecystitis with obstruction intestinal obstruction Indicate complication, such as, Calculus of bile duct with acute K80.42 Polyp of colon K63.5 abscess, fistula, obstruction cholecystitis w/o obstruction Calculus of gallbladder and bile K80.65 Benign neoplasm of colon, D12.6 duct with chronic cholecystitis with unspecified obstruction ULCER Code Tip COLITIS Code Tip Acute gastric ulcer with K25.0 Indicate with or without hemorrage, Amebic nondysenteric colitis A06.2 Chronichemorrhage gastric ulcer without K25.7 with or without perforation Enterocolitis due to Clostridium A04.7 hemorrhage or perforation difficile Ulcerative (chronic) pancolitis K51.00 * Always indicate left, right or bilateral without complications Ulcerative (chronic) pancolitis with K51.011 *These are intended to be examples not a comprehensive listing. Please refer to rectal bleeding the official ICD-10-CM code set for details CROHN'S DISEASE Code Tip October 2013-September 2015 except limited code updates for new technology and new diseases Crohn's disease of small intestine K50.00 Indicate location, small, large or both w/o complications intestines; specify complication when Questions: [email protected] known Crohn's disease of small intestine K50.011 with rectal bleeding Crohn's disease of large intestine K50.114 with abscess Crohn's disease, unspecified, with K50.913 fistula ENTERITIS Code Tip Rotaviral enteritis A08.0 Indicate type

Adenoviral enteritis A08.2 GASTRITIS Code Tip Acute gastritis without bleeding K29.00 Indicate with or without bleeding Alcoholic gastritis with bleeding K29.21

Chronic atrophic gastritis without K29.40 bleeding