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ICD-10 Coding for Barrett's Syndrome(K22.70, K22.710)

Complete ICD-10-CM coding and documentation guide for Barrett's Syndrome. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Barrett's Esophagus

Related ICD-10 Code Ranges

Complete code families applicable to Barrett's Syndrome

K22.7-K22.79Primary Range

Barrett's esophagus with and without dysplasia

This range includes all variations of Barrett's esophagus, specifying the presence and grade of dysplasia.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
K22.70Barrett's esophagus without dysplasiaUse when Barrett's esophagus is confirmed without any dysplasia.
  • Endoscopic findings of Barrett's mucosa
  • Biopsy confirming absence of dysplasia
K22.710Barrett's esophagus with high-grade dysplasiaUse when high-grade dysplasia is confirmed by biopsy.
  • Biopsy confirming high-grade dysplasia
  • Endoscopic findings consistent with Barrett's

Clinical Decision Support

Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.

Key Information: ICD-10 code for Barrett's syndrome

Essential facts and insights about Barrett's Syndrome

The ICD-10 code for Barrett's syndrome without dysplasia is K22.70, while K22.710 is used for Barrett's with high-grade dysplasia.

Primary ICD-10-CM Codes for barrett's syndrome

Barrett's esophagus without dysplasia
Billable Code

Decision Criteria

clinical Criteria

  • Biopsy confirms no dysplasia.

Applicable To

  • Barrett's esophagus without dysplasia

Excludes

Clinical Validation Requirements

  • Endoscopic findings of Barrett's mucosa
  • Biopsy confirming absence of dysplasia

Code-Specific Risks

  • Risk of undercoding if dysplasia is present but not documented.

Coding Notes

  • Ensure documentation specifies absence of dysplasia.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Gastro-esophageal reflux disease without esophagitis

K21.9
Use if GERD is present and documented as causing Barrett's.

Encounter for screening for malignant neoplasm of digestive organs

Z12.810
Use for screening encounters in patients with risk factors.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Barrett's esophagus with high-grade dysplasia

K22.710
Use when biopsy confirms high-grade dysplasia.

Barrett's esophagus with low-grade dysplasia

K22.719
Use when biopsy confirms low-grade dysplasia.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Barrett's Syndrome to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K22.70.

Impact

Clinical: Inaccurate clinical assessment., Regulatory: Non-compliance with coding standards., Financial: Potential loss of reimbursement.

Mitigation Strategy

Train staff on importance of dysplasia documentation.

Impact

Reimbursement: Potential underpayment due to incorrect coding., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Ensure dysplasia is explicitly ruled out in documentation.

Impact

Inadequate documentation of dysplasia grade.

Mitigation Strategy

Implement documentation checks and staff training.

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 Barrett's Syndrome, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Barrett's Syndrome

Use these documentation templates to ensure complete and accurate documentation for Barrett's Syndrome. These templates include all required elements for proper coding and billing.

Surveillance EGD for Barrett's

Specialty: Gastroenterology

Required Elements

  • Endoscopic findings
  • Biopsy results
  • Dysplasia grade

Example Documentation

55M with 10-year hx GERD presents for surveillance EGD. Findings: 4 cm Barrett's segment, biopsy confirms low-grade dysplasia.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Barrett's esophagus noted.
Good Documentation Example
3 cm Barrett's mucosa in distal esophagus; biopsy confirms intestinal metaplasia without dysplasia.
Explanation
Good example specifies location, biopsy results, and absence of dysplasia.

Need help with ICD-10 coding for Barrett's Syndrome? Ask your questions below.

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