GERD ICD 10 Codes and guidelines:
GERD ICD 10 Codes | Description |
K21.9 | GERD |
K21.00 | GERD With esophagitis without bleeding |
K21.01 | GERD With esophagitis with bleeding |
P78.83 | Neonatal esophageal reflux |
When documentation confirms GERD, you’ve got two codes to choose from in ICD-10-CM 2018: K21.0 ( Gastro -esophageal reflux disease with esophagitis) K21.9 (Gastro-esophageal reflux disease without esophagitis).
Used for medical claim reporting in all healthcare settings, ICD-10-CM is a standardized classification system of diagnosis codes that represent conditions and diseases, related health problems, abnormal findings, signs and symptoms, injuries, external causes of injuries and diseases, and social circumstances.
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Why ICD-10 codes are important
ICD-10-CM Code for Gastro-esophageal reflux disease with esophagitis K21. 0.
ICD-10 code: K21. 9 Gastro-oesophageal reflux disease without oesophagitis.
- K21.9 (gastro-esophageal reflux disease. without esophagitis)
While testing is the failsafe way to diagnose GERD, not everyone needs to have a test. If you have heartburn less than once a week, your doctor may advise you treat it with an occasional antacid. If you have GERD symptoms more often than that, your doctor or gastroenterologist may want to do a more extensive exam.
Z12. 11: Encounter for screening for malignant neoplasm of the colon.
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.
ICD-10 code R10. 13 for Epigastric pain is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .
“Code Z86. 010, Personal history of colonic polyps, should be assigned when 'history of colon polyps' is documented by the provider. History of colon polyp specifically indexes to code Z86.
ICD-9-CM Codes K21. 0 (gastro-esophageal reflux disease with esophagitis) Translated ICD9 code 530.11 lacks specificity for GERD.
ICD-10-CM Code for Gastro-esophageal reflux disease without esophagitis K21. 9.
The esophageal pH test is commonly used to help confirm the diagnosis of GERD or to identify the cause of various symptoms. Esophageal manometry is an outpatient test that can identify problems with movement and pressure in the esophagus that may lead to problems like heartburn.
The terms heartburn, acid reflux, and GERD are often used interchangeably. They actually have very different meanings. Acid reflux is a common medical condition that can range in severity from mild to serious. Gastroesophageal reflux disease (GERD) is the chronic, more severe form of acid reflux.
Gastro Esophageal Reflux Disease (GERD) is a digestive system disorder in which the stomach acid flows back to esophagus. This can damage the tissue lining of esophagus and makes it difficult to pass food. It is a common digestive system disorder affecting millions of people throughout the world.
Dyspepsia –Some patients may also feel stomach discomfort, bloating, burping or nausea. Chest pain –This symptom can get confused with cardiac chest pain. So, chest pain ICD should be coded if not mentioned as related to reflux.
Corresponding codes for GERD can be found in Chapter 11 (Diseases of the digestive system) of the ICD-10-CM manual and falls in the range from K00 to K95. The different stages are assigned separate codes such as chronic GERD ICD 10, suspected GERD, and severe GERD ICD 10.
Diagnosing GERD and then the subsequent treatment is dependent upon an individual’s GERD stage. Due to the fact that reflux disease is a progressive condition, the stage is determined by the severity of reflux of the esophagus.
Frequent acid reflux is the major cause of GERD. The stomach acid flows back into the esophagus when the sphincter (a band of muscle at the bottom of the esophagus that allows liquid and food to flow into your stomach), acts abnormally and gets weak.
ICD-10 (short for International Classification of Diseases, tenth edition) is a clinical documentation and cataloging system owned by the World Health organization which consists of thousands of codes, where each code represents critical information about the different diseases, findings, causes of injuries, symptoms, possible treatments, and epidemiology, playing a vital role in enabling advancements in clinical treatment and medication..
The 2021 edition of ICD-10-CM K21 became effective on October 1, 2020.
Symptoms include heartburn and acid indigestion. Retrograde flow of gastric juice (gastric acid) and/or duodenal contents (bile acids; pancreatic juice) into the distal esophagus, commonly due to incompetence of the lower esophageal sphincter.