Other diseases of the digestive system

Historical Changes

• •FY 2025: Routine maintenance updates with minor terminology clarifications
• •FY 2024: Enhanced specificity requirements for certain code ranges
• •FY 2023: Updated documentation guidelines for improved clarity

Upcoming Changes

• •Proposed updates pending review by Coordination and Maintenance Committee
• •Under consideration: Enhanced digital health integration codes

Implementation Guidance

• •Review all FY 2026 updates for K90-K95 codes before implementation
• •Always verify the most current codes in the ICD-10-CM manual
• •Ensure clinical documentation supports the selected diagnosis codes
• +3 more guidance items...

Key Usage Points:

• •Always code to the highest level of specificity available.
• •Use combination codes when available to capture both the disease and its manifestations.
• •Ensure the documentation supports the selected code.
• •Use additional codes to identify any associated conditions or complications.
• •Remember that post-procedural disorders should be coded as complications of the procedure.

When to Use:

• ✓When a patient presents with a digestive disorder not covered by other categories.
• ✓When a patient has a post-procedural disorder of the digestive system.
• ✓When a patient has a disorder of the gallbladder, pancreas, or liver.
• ✓When a patient has intestinal malabsorption.

When NOT to Use:

• ✗When the condition is better represented by another code.
• ✗When the condition is an expected post-procedural outcome.
• ✗When the condition is a direct result of trauma.
• ✗When the condition is a congenital anomaly.

Common Documentation Errors:

• ⚠Not documenting the etiology of the condition
• ⚠Not documenting the severity of the condition
• ⚠Not documenting any associated conditions or complications
• ⚠Not using the highest level of specificity available