ICD-10 Coding for Achalasia(K22.0)
Complete ICD-10-CM coding and documentation guide for Achalasia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Achalasia
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
Essential facts and insights about Achalasia
Primary ICD-10-CM Code for achalasia
Decision Criteria
clinical Criteria
- HRM confirms absent peristalsis with elevated IRP.
documentation Criteria
- Chicago Classification subtype is documented.
Applicable To
- Cardiospasm
- Achalasia NOS
Excludes
- Congenital cardiospasm (Q39.5)
Clinical Validation Requirements
- High-resolution manometry (HRM) confirms absent peristalsis with elevated IRP >15 mmHg
- Chicago Classification v4.0: Type I, II, or III
Code-Specific Risks
- Incorrectly using unspecified codes when specific subtypes are documented.
Coding Notes
- Ensure HRM results are documented to support the use of K22.0.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Congenital cardiospasm
Q39.5Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Achalasia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K22.0.
Impact
Clinical: Inaccurate diagnosis and treatment planning., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Ensure HRM results are included in all achalasia diagnoses., Train staff on documentation requirements.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure HRM documentation supports the specific diagnosis of achalasia.
Impact
Lack of HRM documentation can trigger audits.
Mitigation Strategy
Implement checklist for HRM documentation in clinical notes.
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, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Achalasia
Use these documentation templates to ensure complete and accurate documentation for Achalasia. These templates include all required elements for proper coding and billing.
Achalasia diagnosis and treatment planning
Specialty: GastroenterologyRequired Elements
- Subjective: Symptoms and duration
- Objective: HRM results
- Assessment: Subtype classification
- Plan: Treatment options
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Achalasia? Ask your questions below.