Wiki Ulcerative colitis in remission

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Code: K51.911
Code Name: ICD-10 Code for Ulcerative colitis, unspecified with rectal bleeding
Block: Noninfective enteritis and colitis (K50-K52)
Details: Ulcerative colitis, unspecified with rectal bleeding
K51
Use additional code to identify manifestations, such as:pyoderma gangrenosum (L88)
Excludes1: Crohn's disease [regional enteritis] (K50.-)
Guidelines: Diseases of the digestive system (K00-K95)
Excludes 2: certain conditions originating in the perinatal period (P04-P96)
certain infectious and parasitic diseases (A00-B99)
complications of pregnancy, childbirth and the puerperium (O00-O9A)
congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
endocrine, nutritional and metabolic diseases (E00-E88)
injury, poisoning and certain other consequences of external causes (S00-T88)
neoplasms (C00-D49)
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
For more details, visit: https://coder.aapc.com/icd-10-codes/K51.911

mmloyd

Contributor
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If a patient with a history of UC has a surveillance colonoscopy and all bx come back negative, the Dr's comment is UC "in remission" what is the correct Dx code?
 
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My inclination would to be use a follow-up code - Z09 along with a personal history code - Z87.19. Not sure how payers are going to respond to that, but I would appeal any denials.

Karen
 

pamsbill

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You might also consider it to be the same episode of care, depending on when it was last active. IIRC, the best example of the same episode of care was a child with otitis media who returns for a follow up to make sure it resolved. The guidance stated you should still use otitis media as the diagnosis because it was the same episode of care, even though technically it was not active. This would require a judgment call on your part because if it hasn't been active for years, I don't think you could realistically deem it to be the same episode of care.
 
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