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ICD-10 Guide
ICD-10 CodesK52.0

K52.0

Billable

Gastroenteritis and colitis due to radiation

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/06/2025

Code Description

ICD-10 K52.0 is a billable code used to indicate a diagnosis of gastroenteritis and colitis due to radiation.

Key Diagnostic Point:

K52.0 refers to gastroenteritis and colitis due to radiation exposure, which primarily affects the gastrointestinal tract. This condition arises when the digestive system is damaged by ionizing radiation, often as a result of cancer treatments such as radiation therapy. Clinically, patients may present with symptoms including abdominal pain, diarrhea, nausea, vomiting, and dehydration. The anatomy involved includes the stomach, small intestine, and large intestine, all of which can be affected by radiation-induced inflammation. Disease progression can vary; acute symptoms may develop shortly after exposure, while chronic conditions may manifest later, leading to long-term complications such as strictures or bowel obstruction. Diagnostic considerations include a thorough patient history, physical examination, and imaging studies to assess the extent of gastrointestinal damage. Laboratory tests may also be necessary to evaluate electrolyte imbalances and dehydration levels.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires understanding of radiation effects on the GI tract and differentiating from other causes of gastroenteritis.
  • Treatment complexity: Management may involve supportive care, hydration, and sometimes surgical intervention for severe cases.
  • Documentation requirements: Detailed documentation of radiation exposure history and symptomatology is essential.
  • Coding specificity: Requires precise coding to differentiate from other types of gastroenteritis and colitis.

Audit Risk Factors

  • Common coding errors: Misclassification of radiation-induced conditions as non-radiation related.
  • Documentation gaps: Incomplete patient history regarding radiation exposure.
  • Billing challenges: Potential denials if documentation does not clearly establish the link between radiation and gastrointestinal symptoms.

Specialty Focus

Medical Specialties

Oncology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Gastroenterology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related ICD-10 Codes

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

K52.0 has significant clinical implications as it highlights the adverse effects of radiation therapy on the gastrointestinal system, impacting patient quality of life and treatment outcomes. Understanding this condition is crucial for healthcare providers, especially in oncology, as it influences treatment planning and patient management. Population health impact includes a need for increased awareness of radiation side effects, which can lead to better preventive measures and supportive care strategies. Tracking the incidence of K52.0 can also inform healthcare utilization patterns and guide future research on radiation safety.

ICD-9 vs ICD-10

K52.0 has significant clinical implications as it highlights the adverse effects of radiation therapy on the gastrointestinal system, impacting patient quality of life and treatment outcomes. Understanding this condition is crucial for healthcare providers, especially in oncology, as it influences treatment planning and patient management. Population health impact includes a need for increased awareness of radiation side effects, which can lead to better preventive measures and supportive care strategies. Tracking the incidence of K52.0 can also inform healthcare utilization patterns and guide future research on radiation safety.

Reimbursement & Billing Impact

Reimbursement considerations include the need for accurate coding to reflect the complexity of the condition. Common denials may arise from insufficient documentation linking the diagnosis to radiation exposure. Best practices include regular audits of coding accuracy and ensuring that all claims are supported by thorough clinical notes.

Resources

Clinical References

  • •
    ICD-10 Official Guidelines for K00-K99
  • •
    Clinical Documentation Requirements

Coding & Billing References

  • •
    ICD-10 Official Guidelines for K00-K99
  • •
    Clinical Documentation Requirements

Frequently Asked Questions

What specific conditions are covered by K52.0?

K52.0 specifically covers gastroenteritis and colitis that result from radiation exposure, including acute and chronic inflammation of the gastrointestinal tract due to ionizing radiation.

When should K52.0 be used instead of related codes?

K52.0 should be used when there is a clear history of radiation exposure that correlates with the onset of gastrointestinal symptoms, differentiating it from other gastroenteritis codes that do not involve radiation.

What documentation supports K52.0?

Documentation should include a detailed account of the patient's radiation exposure history, clinical symptoms, diagnostic imaging results, and any treatment provided for gastrointestinal distress.