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ICD-10 Guide
ICD-10 CodesK52.82

K52.82

Billable

Eosinophilic colitis

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

Code Description

ICD-10 K52.82 is a billable code used to indicate a diagnosis of eosinophilic colitis.

Key Diagnostic Point:

Eosinophilic colitis is a rare gastrointestinal disorder characterized by the infiltration of eosinophils, a type of white blood cell, into the colonic tissue. Clinically, patients may present with symptoms such as abdominal pain, diarrhea (which may be bloody), weight loss, and malnutrition. The condition primarily affects the colon, which is part of the large intestine, and can lead to inflammation and damage to the intestinal lining. Disease progression can vary; some patients may experience acute episodes, while others may have chronic symptoms that can lead to complications such as strictures or perforation of the colon. Diagnosis typically involves a combination of clinical evaluation, endoscopic examination, and histological analysis of biopsy samples to confirm eosinophilic infiltration. It is essential to rule out other causes of eosinophilia and gastrointestinal symptoms, such as infections, allergies, or other inflammatory bowel diseases. Treatment often includes dietary modifications, corticosteroids, and immunosuppressive therapies, depending on the severity of the condition and the patient's response to initial treatments.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires histological confirmation and exclusion of other conditions.
  • Treatment complexity: Involves a multidisciplinary approach and may require long-term management.
  • Documentation requirements: Detailed clinical notes and biopsy results are necessary for accurate coding.
  • Coding specificity: Specific to eosinophilic colitis, which may be confused with other colitis types.

Audit Risk Factors

  • Common coding errors: Misclassification with other types of colitis.
  • Documentation gaps: Incomplete clinical notes or lack of biopsy results.
  • Billing challenges: Potential denials if documentation does not clearly 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

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

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Eosinophilic colitis, while rare, has significant clinical implications for affected individuals, including potential complications and a need for ongoing management. Understanding this condition can improve population health outcomes by ensuring timely diagnosis and appropriate treatment. Awareness of eosinophilic colitis can also enhance quality measures in gastrointestinal care and reduce healthcare utilization by preventing complications through early intervention.

ICD-9 vs ICD-10

Eosinophilic colitis, while rare, has significant clinical implications for affected individuals, including potential complications and a need for ongoing management. Understanding this condition can improve population health outcomes by ensuring timely diagnosis and appropriate treatment. Awareness of eosinophilic colitis can also enhance quality measures in gastrointestinal care and reduce healthcare utilization by preventing complications through early intervention.

Reimbursement & Billing Impact

reimbursement considerations include the need for pre-authorization for certain treatments and ensuring that all services rendered are clearly linked to the diagnosis. It is also important to be aware of potential common denials related to insufficient documentation or misclassification of the condition.

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 K52.82?

K52.82 specifically covers eosinophilic colitis, which is characterized by eosinophilic infiltration of the colon. It is distinct from other forms of colitis, such as ulcerative colitis or Crohn's disease, and requires specific diagnostic criteria including histological evidence of eosinophils in colonic biopsies.

When should K52.82 be used instead of related codes?

K52.82 should be used when there is clear evidence of eosinophilic infiltration in the colon, confirmed by biopsy, and when other causes of eosinophilia and gastrointestinal symptoms have been ruled out. It is important to differentiate it from other inflammatory bowel diseases that may present similarly.

What documentation supports K52.82?

Documentation for K52.82 should include clinical notes detailing the patient's symptoms, results from endoscopic examinations, and histopathological findings from biopsies showing eosinophilic infiltration. Additionally, any relevant laboratory tests that rule out other conditions should be included.