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ICD-10 Guide
ICD-10 CodesK52.8

K52.8

Non-billable

Other specified noninfective gastroenteritis and colitis

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

Code Description

ICD-10 K52.8 is a used to indicate a diagnosis of other specified noninfective gastroenteritis and colitis.

Key Diagnostic Point:

K52.8 refers to 'Other specified noninfective gastroenteritis and colitis,' which encompasses a range of gastrointestinal disorders characterized by inflammation of the gastrointestinal tract, specifically the stomach and intestines, that are not caused by infectious agents. Clinically, patients may present with symptoms such as abdominal pain, diarrhea, nausea, vomiting, and bloating. The anatomy involved includes the stomach, small intestine, and large intestine, where inflammation can disrupt normal digestive processes. Disease progression may vary, with some patients experiencing acute episodes while others may develop chronic symptoms. Diagnostic considerations include a thorough patient history, physical examination, and potentially imaging studies or endoscopy to rule out infectious causes and other gastrointestinal diseases. Laboratory tests may also be performed to assess for inflammatory markers or other underlying conditions. Accurate diagnosis is crucial for appropriate management and treatment, which may include dietary modifications, medications to reduce inflammation, and supportive care.

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 and medications, which can vary based on the underlying cause.
  • Documentation requirements: Detailed clinical documentation is necessary to support the diagnosis and treatment plan.
  • Coding specificity: Requires precise coding to differentiate from other related codes.

Audit Risk Factors

  • Common coding errors: Misclassification with infectious gastroenteritis codes.
  • Documentation gaps: Insufficient clinical details to support the diagnosis.
  • Billing challenges: Potential for denials if documentation does not clearly establish the noninfective nature of the condition.

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 ICD-10 Codes

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

The clinical significance of K52.8 lies in its potential to affect patient quality of life and healthcare utilization. Noninfective gastroenteritis and colitis can lead to chronic symptoms that impact daily activities and may require ongoing medical management. Understanding the epidemiology of these conditions can help healthcare providers identify at-risk populations and implement preventive measures, ultimately improving patient outcomes and reducing healthcare costs.

ICD-9 vs ICD-10

The clinical significance of K52.8 lies in its potential to affect patient quality of life and healthcare utilization. Noninfective gastroenteritis and colitis can lead to chronic symptoms that impact daily activities and may require ongoing medical management. Understanding the epidemiology of these conditions can help healthcare providers identify at-risk populations and implement preventive measures, ultimately improving patient outcomes and reducing healthcare costs.

Reimbursement & Billing Impact

reimbursement related to gastrointestinal conditions.

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 K52.8?

K52.8 encompasses various noninfective causes of gastroenteritis and colitis, such as allergic reactions to food, medication-induced colitis, and inflammatory bowel disease (IBD) not otherwise specified. It is essential to evaluate the patient's history and symptoms to determine the specific underlying condition.

When should K52.8 be used instead of related codes?

K52.8 should be used when the gastroenteritis or colitis is confirmed to be noninfective and does not fit into more specific categories such as K52.0 (infective gastroenteritis) or K52.1 (toxic gastroenteritis). Proper documentation must support the noninfective diagnosis.

What documentation supports K52.8?

Documentation should include a detailed patient history, physical examination findings, laboratory results, and any imaging studies performed. It is crucial to document the absence of infectious causes and any relevant dietary or medication history that may contribute to the condition.