Learn More about Enterocolitis and its ICD-10 Documentation

Learn More about Enterocolitis and its ICD-10 Documentation

Mainly treated by gastroenterologists, conditions like enterocolitis can be reported in reimbursement claims using suitable ICD-10 codes.

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Enterocolitis (enteritis+colitis) refers to the inflammation of the inner lining of the small intestine and the colon. Enteritis is the inflammation of the small intestine and colitis is the inflammation of the colon. Common symptoms include fever, swelling near the stomach, nausea, vomiting, diarrhea and tiredness. Chronic cases may lead to digestive system problems, sepsis, intestinal perforation, and inflammation of the intestine itself. Gastroenterology medical billing involves documenting the services provided for patients with this condition.

Types, Symptoms and Treatment for Enterocolitis Types of enterocolitis include Necrotizing enterocolitis that occurs when the inflammation is accompanied by the death of tissues in the lining of the intestine, Pseudomembranous condition that involves inflammation of the lining of the bowel in addition to the intestines, Hemorrhagic enterocolitis or another type of inflammation caused by a bacterial infection, Antibiotic associated enterocolitis that shows up after antibiotic treatment, and Neutropenic Enterocolitis, a fatal inflammatory disease with a high mortality rate that affects both the small and large

bowels

of

patients

who

suffer

from

myelosuppression

and

immunosuppression.

Inflammation of the small and large intestine wall linings can present gastric issues such as diarrhea, bloating, cramping, nausea, and vomiting. These symptoms can lead to severe dehydration and tearing of the intestinal wall. The condition will require close monitoring in a hospital setting for most cases, and those with severe cases will need surgery.

To diagnose the condition, doctor may order various tests, such as a complete blood count (CBC) test, blood culture test, and a stool sample. Inspecting the stool helps doctors rule out pseudomembranous colitis or other cases of enterocolitis caused by severe infection.

Inflammation is mainly caused by bacteria such as E. coli, Salmonella, and Shigella.

It also includes viruses such as adenoviruses, enteroviruses, and rotaviruses. Other

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causes include frequent use of antibiotics, weakened immune system, allergic reaction to food and exposure to chemical or toxins The condition is often treated with bowel rest, nasogastric suction, intravenous fluids, antibiotics, anti-diarrheal medications, and blood and platelet transfusions.

For recurrent enterocolitis, doctors may do a fecal microbial transplantation, where they replace the disrupted gut microorganisms with live bacteria taken from a healthy donor. Severe cases of enterocolitis require surgery that involves draining the infected areas and removing the infected parts of the intestines.

Medical Coding - Enterocolitis Accurate medical coding services are critical for on-time reimbursement for the services provided by physicians. Medical coders should be able to properly identify the type of treatment provided and use proper diagnosis codes to support fair, accurate payment.

Relevant ICD-10 codes for enterocolitis include:

Enteritis  A02.0 Salmonella enteritis  A08.0 Rotaviral enteritis  A08.2 Adenoviral enteritis  A08.31 Calicivirus enteritis  A08.32 Astrovirus enteritis  A18.32 Tuberculous enteritis  B37.82 Candidal enteritis  A04.6 Enteritis due to Yersinia enterocolitica

Colitis  K51.90 Ulcerative colitis, unspecified, without complications 

K52.3 Indeterminate colitis

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 K52.83 Microscopic colitis  K52.831 Collagenous colitis  K52.832 Lymphocytic colitis  K52.89 Other specified noninfective gastroenteritis and colitis  K52.9 Noninfective gastroenteritis and colitis, unspecified

Enterocolitis  A04.7 Enterocolitis due to Clostridium difficile  K52.9 Noninfective gastroenteritis and colitis, unspecified  K55.30 Necrotizing enterocolitis, unspecified  K55.31 Stage 1 necrotizing enterocolitis  K55.32 Stage 2 necrotizing enterocolitis  K55.33 Necrotizing enterocolitis  P77 Necrotizing enterocolitis of newborn  P77.3 Stage 3 necrotizing enterocolitis in newborn Physicians can choose to partner with a professional gastroenterology medical billing company to meet their claim submission requirements. Make sure that the medical

billing

specialist

assisting

you

keeps

up-to-date

with

all

coding

requirements and regulations, which helps reduce the margin of error when documenting diagnoses and medical procedures.

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Phone: 1-800-670-2809