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Home/Diagnosis/ICD-10 Coding for Proctitis

ICD-10 Coding for Proctitis

K62.7
K51.20
A54.6

Complete ICD-10-CM coding and documentation guide for icd-10 coding for proctitis includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Rectal Inflammation
Inflammation of the Rectum
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Key Information: ICD-10 Coding for Proctitis

Essential facts and insights about ICD-10 Coding for Proctitis

Use ICD-10 code K62.7 for radiation proctitis, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Radiation proctitis

Billable Code
K62.7
Billable

Diagnostic Criteria

  • • Patient has a history of radiation therapy.

Applicable To

  • • Proctitis due to radiation therapy

Important Notes

  • • Ensure radiation history is documented.

Ulcerative proctitis without complications

Billable Code
K51.20
Billable

Diagnostic Criteria

  • • Endoscopic confirmation of ulcerative changes
  • • Symptoms of rectal bleeding or pain

Applicable To

  • • Ulcerative proctitis

Important Notes

  • • Ensure documentation includes endoscopic findings.

Gonococcal proctitis

Billable Code
A54.6
Billable

Diagnostic Criteria

  • • Positive NAAT for Neisseria gonorrhoeae
  • • Symptoms of rectal discharge or pain

Applicable To

  • • Proctitis due to Neisseria gonorrhoeae

Important Notes

  • • Ensure NAAT results are documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

R19.5

Rectal bleeding

Use to document associated rectal bleeding.

R10.2

Pelvic and perineal pain

Use to document associated pelvic pain.

B20

HIV disease

Use if the patient is also diagnosed with HIV.

Frequently Asked Questions

What is the ICD-10 code for radiation proctitis?

The ICD-10 code for radiation proctitis is K62.7. It is used when proctitis is directly linked to prior radiation therapy.

How do you code ulcerative proctitis?

Ulcerative proctitis is coded as K51.20 when there are no complications, and K51.214 if an abscess is present.

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