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ICD-10 Guide
ICD-10 CodesChapter 11: Diseases of the digestive systemK52

K52

Non-billable

Other and unspecified noninfective gastroenteritis and colitis

Chapter 11:Diseases of the digestive system

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

Code Description

ICD-10 K52 is a used to indicate a diagnosis of other and unspecified noninfective gastroenteritis and colitis.

Key Diagnostic Point:

K52 refers to 'Other and unspecified noninfective gastroenteritis and colitis,' which encompasses a range of gastrointestinal conditions characterized by inflammation of the stomach and intestines without a known infectious cause. Clinically, patients may present with symptoms such as abdominal pain, diarrhea, nausea, vomiting, and bloating. The anatomy involved primarily includes the stomach and intestines, where inflammation can disrupt normal digestive processes. Disease progression can vary; some patients may experience acute episodes that resolve spontaneously, while others may develop chronic symptoms requiring ongoing management. Diagnostic considerations include ruling out infectious causes through stool tests, imaging studies, and endoscopy when necessary. A thorough patient history and examination are crucial to identify potential noninfective triggers such as food intolerances, medications, or underlying inflammatory conditions. Accurate diagnosis is essential for effective treatment and management of symptoms.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires differentiation from infectious gastroenteritis and other gastrointestinal disorders.
  • Treatment complexity: Management may involve dietary changes, medications, and addressing underlying conditions.
  • Documentation requirements: Detailed clinical history and symptom description are necessary for accurate coding.
  • Coding specificity: K52 is less specific than codes for specific types of gastroenteritis or colitis.

Audit Risk Factors

  • Common coding errors: Misclassification as infectious gastroenteritis.
  • Documentation gaps: Incomplete patient history or lack of symptom detail.
  • Billing challenges: Potential denials if documentation does not support the diagnosis.

Specialty Focus

Medical Specialties

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

Primary Care

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 CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

K52 has significant clinical implications as it encompasses a variety of gastrointestinal disorders that can affect patient quality of life and healthcare utilization. Understanding and accurately coding these conditions can improve population health outcomes by facilitating appropriate treatment and management strategies. Additionally, tracking the prevalence of noninfective gastroenteritis and colitis can inform public health initiatives aimed at addressing dietary and environmental factors contributing to these conditions.

ICD-9 vs ICD-10

K52 has significant clinical implications as it encompasses a variety of gastrointestinal disorders that can affect patient quality of life and healthcare utilization. Understanding and accurately coding these conditions can improve population health outcomes by facilitating appropriate treatment and management strategies. Additionally, tracking the prevalence of noninfective gastroenteritis and colitis can inform public health initiatives aimed at addressing dietary and environmental factors contributing to these conditions.

Reimbursement & Billing Impact

reimbursement rates and reduce the likelihood of audits.

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?

K52 covers various noninfective gastroenteritis and colitis conditions, including allergic gastroenteritis, drug-induced colitis, and idiopathic forms of inflammation. It is important to document the specific nature of the condition when coding.

When should K52 be used instead of related codes?

K52 should be used when the gastroenteritis or colitis is confirmed to be noninfective and does not fit into more specific categories such as K51 or K58. Proper documentation of the clinical findings is essential for this differentiation.

What documentation supports K52?

Documentation should include a detailed patient history, clinical findings, results from diagnostic tests that rule out infectious causes, and any relevant treatment plans. This ensures that the coding accurately reflects the patient's condition.