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ICD-10 Coding for Celiac Sprue(K90.0, K90.41, L13.0)

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Learn about the ICD-10 coding for celiac sprue, including documentation requirements and clinical validation criteria.

Also known as:
Celiac DiseaseNontropical SprueGluten-Sensitive Enteropathy
Related ICD-10 Code Ranges

Complete code families applicable to Celiac Sprue

K00-K95Primary Range

Diseases of the digestive system

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Primary ICD-10-CM Codes
Celiac disease
K90.0Billable
Differential Codes

Alternative codes to consider when ruling out similar conditions

Non-celiac gluten sensitivityK90.41

Use when gluten sensitivity is present without biopsy confirmation of celiac disease.

Documentation & Coding Risks

Avoid these common issues when documenting Celiac Sprue.

Coding K90.0 without biopsy documentation.

Impact

Clinical: May lead to misdiagnosis., Regulatory: Non-compliance with coding standards., Financial: Potential denial of claims.

Mitigation

Verify biopsy results before coding.

Not coding dermatitis herpetiformis when present.

Impact

Reimbursement: May result in lower reimbursement if associated conditions are not coded., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation

Add L13.0 when dermatitis herpetiformis is confirmed.

Biopsy Documentation

Impact

Audits may check for biopsy documentation when coding K90.0.

Mitigation

Ensure all biopsy results are included in patient records.

Frequently Asked Questions

Related condition guides

Documentation requirements, coding pitfalls and FAQs for conditions coded with K90.0.