ICD-10 Coding for Achalasia Cardia(K22.0)
Complete ICD-10-CM coding and documentation guide for Achalasia Cardia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Achalasia Cardia
K20-K31Primary Range
Diseases of esophagus, stomach and duodenum
This range includes conditions affecting the esophagus, including achalasia.
Key Information: ICD-10 code for achalasia cardia
Essential facts and insights about Achalasia Cardia
Primary ICD-10-CM Code for achalasia cardia
Decision Criteria
clinical Criteria
- HRM showing IRP >15 mmHg and 100% failed peristalsis
documentation Criteria
- Detailed symptom description and HRM results
Applicable To
- Esophageal achalasia
- Cardiospasm
Excludes
- Congenital cardiospasm (Q39.5)
Clinical Validation Requirements
- High-Resolution Manometry (HRM) showing IRP >15 mmHg and 100% failed peristalsis
- Barium swallow indicating dilated esophagus with tapered narrowing at LES
Code-Specific Risks
- Misdiagnosing congenital cases as acquired achalasia
- Incorrectly coding GERD when achalasia is present
Coding Notes
- Ensure HRM results are documented to support achalasia diagnosis.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Dysphagia
R13.1-Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Achalasia Cardia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K22.0.
Impact
Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials due to insufficient documentation.
Mitigation Strategy
Implement checklist for documentation requirements, Regular training on documentation standards
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records.
Mitigation Strategy
Verify patient history to distinguish congenital cases.
Impact
Lack of detailed HRM results can trigger audits.
Mitigation Strategy
Ensure all diagnostic criteria are documented.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Achalasia Cardia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Achalasia Cardia
Use these documentation templates to ensure complete and accurate documentation for Achalasia Cardia. These templates include all required elements for proper coding and billing.
Achalasia diagnosis and treatment planning
Specialty: GastroenterologyRequired Elements
- Patient symptoms
- HRM results
- Eckardt score
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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