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Clinical Indicators for Coders/CDI The following indicators, when present in physician documentation, laboratory values, or diagnostic reports, support assignment of a Crohn’s disease diagnosis and may trigger CDI queries for greater specificity: When imaging or operative reports document a fistula, abscess, or bowel obstruction in a patient with known Crohn’s disease, and the attending’s Crohn’s diagnosis code lacks a complication specifier, query the provider: “Does the patient’s current admission involve Crohn’s disease with [fistula / abscess / obstruction / rectal bleeding] as a complication of the Crohn’s, a separate condition, or both?” This distinction determines whether to code K50.x13, K50.x14, K50.x12, or K50.x11 vs
