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ICD-10 Guide
ICD-10 CodesK52.89

K52.89

Billable

Other specified noninfective gastroenteritis and colitis

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

Code Description

ICD-10 K52.89 is a billable code used to indicate a diagnosis of other specified noninfective gastroenteritis and colitis.

Key Diagnostic Point:

K52.89 refers to 'Other specified noninfective gastroenteritis and colitis,' which encompasses a variety of gastrointestinal conditions characterized by inflammation of the gastrointestinal tract, specifically the stomach and intestines, that are not caused by infectious agents. Clinical presentations may include abdominal pain, diarrhea, nausea, vomiting, and bloating. The anatomy involved primarily includes the stomach, small intestine, and large intestine. Disease progression can vary, with some patients experiencing acute symptoms that resolve quickly, while others may develop chronic conditions requiring ongoing management. Diagnostic considerations include a thorough patient history, physical examination, and potentially diagnostic imaging or endoscopy to rule out infectious causes and identify specific underlying conditions such as inflammatory bowel disease, food intolerances, or adverse reactions to medications. Accurate diagnosis is crucial for effective treatment and management of symptoms, as well as for distinguishing K52.89 from other related codes that may indicate infectious or more specific noninfective gastroenteritis and colitis.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires differentiation from infectious causes and other gastrointestinal disorders.
  • Treatment complexity: Management may involve dietary changes, medications, or referrals to specialists.
  • Documentation requirements: Detailed clinical documentation is necessary to support the diagnosis and treatment plan.
  • Coding specificity: Requires accurate coding to capture the specific nature of the condition.

Audit Risk Factors

  • Common coding errors: Misclassification with infectious gastroenteritis codes.
  • Documentation gaps: Insufficient clinical details to support the diagnosis.
  • Billing challenges: Potential denials if documentation does not clearly justify the use of K52.89.

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

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical significance of K52.89 lies in its association with various gastrointestinal disorders that can affect a significant portion of the population, leading to increased healthcare utilization. Understanding and accurately coding these conditions can improve patient outcomes by ensuring appropriate management and treatment. Additionally, tracking the prevalence of noninfective gastroenteritis and colitis can inform public health initiatives and quality measures aimed at reducing the burden of gastrointestinal diseases.

ICD-9 vs ICD-10

The clinical significance of K52.89 lies in its association with various gastrointestinal disorders that can affect a significant portion of the population, leading to increased healthcare utilization. Understanding and accurately coding these conditions can improve patient outcomes by ensuring appropriate management and treatment. Additionally, tracking the prevalence of noninfective gastroenteritis and colitis can inform public health initiatives and quality measures aimed at reducing the burden of gastrointestinal diseases.

Reimbursement & Billing Impact

impact reimbursement rates.

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 K52.89?

K52.89 covers various noninfective causes of gastroenteritis and colitis, including but not limited to allergic reactions to food, medication-induced gastrointestinal disturbances, and inflammatory bowel diseases that do not fit other specific codes.

When should K52.89 be used instead of related codes?

K52.89 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-K52.8, ensuring that the clinical documentation supports this differentiation.

What documentation supports K52.89?

Documentation should include a comprehensive patient history, physical examination findings, results from any diagnostic tests performed, and a clear rationale for the diagnosis of noninfective gastroenteritis or colitis.