Intestinal metaplasia can develop any place where squamous mucosa is normally found. When intestinal metaplasia replaces the squamous mucosa of the esophagus, it is called Barrett's esophagus.
ICD-10 code: K22. 8 Other specified diseases of oesophagus.
ICD-10-CM Code for Barrett's esophagus without dysplasia K22. 70.
Barrett's metaplasia occurs as a result of prolonged tissue injury in the esophagus due to chronic gastroesophageal reflux disease (GERD). One of the risk factors of GERD and its complications has been the increase in obesity, especially central adiposity.
Barrett's esophagus without dysplasia K22. 70 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM K22. 70 became effective on October 1, 2021.
01 - Gastro-esophageal reflux disease with esophagitis, with bleeding is a sample topic from the ICD-10-CM. To view other topics, please log in or purchase a subscription. ICD-10-CM 2022 Coding Guide™ from Unbound Medicine.
Barrett's and GERD Yes, you would code both.
Z12. 11: Encounter for screening for malignant neoplasm of the colon.
Personal history of colonic polyps“Code Z86. 010, Personal history of colonic polyps, should be assigned when 'history of colon polyps' is documented by the provider.
When doctors find intestinal metaplasia, it looks like the mucosal lining of your esophagus or stomach has been replaced with intestinal lining. In the esophagus, this condition is also known as Barrett's esophagus. In the stomach, it may be called gastric intestinal metaplasia.
Intestinal metaplasia is a condition in which the cells that create the lining of your stomach are changed or replaced. The replacement cells are similar to the cells that create the lining of your intestines. It's considered a precancerous condition.
Barrett's esophagus is a condition in which the flat pink lining of the swallowing tube that connects the mouth to the stomach (esophagus) becomes damaged by acid reflux, which causes the lining to thicken and become red.
This allows stomach contents to leak back, or reflux, into the esophagus and irritate it. Over time, GERD can cause damage to the esophagus. Other problems include heartburn, cancer, and eosinophilic esophagitis.
The esophagus is a muscular tube connecting the throat (pharynx) with the stomach.
Code R13. 10 is the diagnosis code used for Dysphagia, Unspecified. It is a disorder characterized by difficulty in swallowing. It may be observed in patients with stroke, motor neuron disorders, cancer of the throat or mouth, head and neck injuries, Parkinson's disease, and multiple sclerosis.
Q40. 1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM Q40. 1 became effective on October 1, 2021.
K22.719 is a billable ICD code used to specify a diagnosis of barrett's esophagus with dysplasia, unspecified. A 'billable code' is detailed enough to be used to specify a medical diagnosis.
Endoscopic image of Barrett's esophagus, which is the area of red mucosa projecting like a tongue. Biopsies showed intestinal metaplasia.
If the biopsy is taken from gastric cardia, then this represents intestinal metaplasia of the gastric cardia.
Esophageal squamous epithelium replaced by columnar epithelium of intestinal type with goblet cells
Risk of cancer progression for nondysplastic BE is 0.2 - 0.5% per year ( Am J Gastroenterol 2016;111:30 )
Red / salmon colored mucosa between pale squamous mucosa of lower esophagus and lush pink gastric mucosa; may have tongues extending up from GE junction
Necessity of intestinal metaplasia (IM) for diagnosis of BE varies; IM required in United States and part of Europe, IM not necessary in UK and Japan ( Am J Gastroenterol 2016;111:30, Gut 2014;63:7 )
The ICD code K227 is used to code Barrett's esophagus. Barrett's esophagus (British English: Barrett's oesophagus), sometimes called Barrett syndrome, Barrett esophagus, or columnar epithelium lined lower oesophagus (CELLO), refers to an abnormal change (metaplasia) in the cells of the lower portion of the esophagus.
Malignant neoplasm of esophagus - instead, use code C15.-
Endoscopic image of Barrett's esophagus, which is the area of red mucosa projecting like a tongue. Biopsies showed intestinal metaplasia.
Use a child code to capture more detail. ICD Code K22.7 is a non-billable code.