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ICD-10 Guide
ICD-10 CodesK52.2

K52.2

Non-billable

Allergic and dietetic gastroenteritis and colitis

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

Code Description

ICD-10 K52.2 is a used to indicate a diagnosis of allergic and dietetic gastroenteritis and colitis.

Key Diagnostic Point:

K52.2 refers to allergic and dietetic gastroenteritis and colitis, which are inflammatory conditions of the gastrointestinal tract triggered by dietary factors or allergic reactions. Clinically, patients may present with symptoms such as abdominal pain, diarrhea, nausea, vomiting, and bloating. The anatomy involved includes the stomach and intestines, where inflammation occurs due to the ingestion of allergens or irritants. Disease progression can vary; in mild cases, symptoms may resolve with dietary modifications, while severe cases can lead to dehydration and malnutrition. Diagnostic considerations include a thorough patient history to identify potential allergens, dietary habits, and exclusion of other gastrointestinal disorders. Laboratory tests, such as stool analysis, may be conducted to rule out infections or other underlying conditions. A comprehensive approach to diagnosis and management is crucial to prevent complications and ensure effective treatment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires careful assessment of dietary history and potential allergens.
  • Treatment complexity: Involves dietary management and possibly pharmacotherapy for inflammation.
  • Documentation requirements: Detailed documentation of symptoms, dietary history, and response to treatment is essential.
  • Coding specificity: Requires accurate identification of the cause of gastroenteritis or colitis.

Audit Risk Factors

  • Common coding errors: Misidentifying the cause of gastroenteritis can lead to incorrect coding.
  • Documentation gaps: Insufficient documentation of dietary history may result in coding inaccuracies.
  • Billing challenges: Claims may be denied if documentation does not clearly support the diagnosis.

Specialty Focus

Medical Specialties

Primary medical specialty: 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

Secondary specialty: Allergy and Immunology

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

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical significance of K52.2 lies in its potential to affect a patient's quality of life due to gastrointestinal symptoms. Population health impact includes the rising prevalence of food allergies and intolerances, necessitating awareness among healthcare providers. Quality measures may focus on the effectiveness of dietary management in alleviating symptoms. Understanding healthcare utilization patterns related to K52.2 can help in resource allocation and improving patient outcomes, particularly in populations with high rates of food allergies.

ICD-9 vs ICD-10

The clinical significance of K52.2 lies in its potential to affect a patient's quality of life due to gastrointestinal symptoms. Population health impact includes the rising prevalence of food allergies and intolerances, necessitating awareness among healthcare providers. Quality measures may focus on the effectiveness of dietary management in alleviating symptoms. Understanding healthcare utilization patterns related to K52.2 can help in resource allocation and improving patient outcomes, particularly in populations with high rates of food allergies.

Reimbursement & Billing Impact

Reimbursement considerations include ensuring that the diagnosis is well-supported by clinical evidence. Common denials may occur if the documentation does not clearly link the symptoms to dietary factors or allergies. Best practices include thorough documentation of the patient's response to dietary changes and any treatments administered, which can help in appealing denied claims and ensuring appropriate reimbursement.

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 K52.2?

K52.2 covers allergic reactions and diet-related gastroenteritis and colitis, including conditions such as food allergies, intolerance to specific food components, and reactions to additives or preservatives.

When should K52.2 be used instead of related codes?

K52.2 should be used when the gastroenteritis or colitis is specifically linked to allergic reactions or dietary factors, distinguishing it from other forms of gastroenteritis that may be infectious or idiopathic.

What documentation supports K52.2?

Documentation should include a detailed patient history of dietary intake, identification of potential allergens, clinical symptoms, and any diagnostic tests performed to confirm the diagnosis.