Celiac disease icd 10

Number:0588 Table Of Contents Policy Applicable CPT / HCPCS / ICD-10 Codes Background References Policy Aetna considers capsule endoscopy (e.g., Endocapsule)medically necessary for the following indications: • For evaluation of locoregional carcinoid tumors of the small bowel in persons with carcinoid syndrome; or • For evaluation of persons with celiac disease with a positive serology who are unable to undergo esophagogastroduodenoscopy (EGD) (e.g., medically unstable, presence of known or suspected perforated viscus) with biopsy; or • For re-evaluation ofpersons withceliac disease who remain symptomaticdespite treatmentand there is no suspected or confirmed gastro-intestinal (GI)obstruction, stricture, or fistulae; or • For initial diagnosis in persons with suspected Crohn's disease (abdominal pain or diarrhea, plus1 or more signs of inflammation (e.g., fever, elevated white blood cell count, elevated erythrocyte sedimentation rate, elevated C reactive protein, or bleeding) without evidence of disease on conventional diagnostic tests, including small-bowel follow-through or abdominal CT scan/CT enterographyand upper and lower endoscopy (esophago-gastro-duodenoscopy (EGD) and colonoscopy); or • For re-evaluation ofpersons withCrohn's disease who remain symptomaticdespite treatmentand there is no suspected or confirmed gastro-intestinal obstruction, stricture, or fistulae; or • For investigating suspected small intestinal bleeding in persons with objective evidence of recu...

Physicians know a lot more about the disease than they used to, but diagnosis remains difficult. Stomach pain, diarrhea, nausea, heartburn … these are common symptoms for a host of conditions, including celiac disease. Twenty years ago, a physician’s first course of intervention for a patient complaining of gastric distress might’ve been simply to treat the symptoms with antacids, antiemetics, simethicone, and so on. If the patient returned with consistent or worsening symptoms, the physician might’ve ordered a diagnostic test, such as endoscopy. Initial visit coding would’ve included an appropriate evaluation and management (E/M) CPT® code and one or more diagnosis codes for classic symptoms: • Abdominal pain • Diarrhea • Nausea alone • Heartburn Follow-up visit coding would include an appropriate E/M CPT® code and an endoscopy code. Based on the negative results of the diagnostic testing (nothing would show up because the inflammation is in the intestine), the physician would likely diagnose the patient with dyspepsia or some other common malady and recommend the patient continue on antacids. Case closed. Twenty years ago, hardly anyone had heard of celiac disease (also called celiac sprue and gluten-sensitive enteropathy). Today, it’s practically a household word — along with the term “gluten free.” The disease is so prevalent, food manufacturers now label their applicable products “Gluten Free,” and a completely new category of gluten-free food products has entered the...

Also: See whether the encounter levels best with MDM or time. You’ve probably seen several claims related to celiac disease, but that doesn’t mean you’re confident about coding it. You must rely on thorough documentation while also making sure you’re submitting all the correct details and appropriately leveling the encounter to avoid denials. Whether your celiac coding skills need some work, or you’re just trying to get a handle at better documenting the disease, take a look at this case study to strengthen your skills. The case: A 16-year-old established patient presents to the pediatrician complaining of abnormal weight loss, frequent bloating, and excessive flatulence, and is currently also experiencing functional diarrhea. The medical record shows a family history of irritable bowel syndrome (IBS), celiac disease, and a previous dermatitis herpetiformis diagnosis that resulted in a rash that has yet to resolve. The clinician ordered serology antibody testing due to suspected celiac disease, but test results are not yet available. As a precaution, the provider started the patient on a strict gluten-free diet and a prescription for the itchy rash. The entire encounter took 25 minutes. Consult These Symptoms and History Codes There is no definitive diagnosis at this point because the blood test results are pending. This means you must code the information that is available at this encounter. Symptoms: According to ICD-10 Official Guidelines, Section I.B.4, you’ll code the...