ICD-10 Coding for Barrett's Esophagus(K22.70, K22.710)
Complete ICD-10-CM coding and documentation guide for Barrett's Esophagus. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Barrett's Esophagus
K22.7Primary Range
Barrett's esophagus with and without dysplasia
This range covers all forms of Barrett's esophagus, including those with different grades of dysplasia.
Gastro-esophageal reflux disease without esophagitis
GERD is often an underlying condition that leads to Barrett's esophagus and should be coded first if present.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| K22.70 | Barrett's esophagus without dysplasia | Use when Barrett's esophagus is confirmed without any dysplastic changes. |
|
| K22.710 | Barrett's esophagus with low-grade dysplasia | Use when low-grade dysplasia is confirmed by pathology. |
|
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 esophagus
Essential facts and insights about Barrett's Esophagus
Primary ICD-10-CM Codes for barrett's
Decision Criteria
clinical Criteria
- Biopsy confirms intestinal metaplasia without dysplasia.
Applicable To
- Barrett's esophagus without any dysplastic changes
Excludes
- Esophageal adenocarcinoma (C15.x)
Clinical Validation Requirements
- Endoscopic evidence of columnar-lined esophagus
- Biopsy confirming intestinal metaplasia
Code-Specific Risks
- Misclassification if dysplasia is present but not documented
Coding Notes
- Ensure documentation specifies absence of dysplasia.
K22.710 - Barrett's esophagus with low-grade dysplasia
Use when low-grade dysplasia is confirmed by pathology.
Applicable To
- Barrett's esophagus with low-grade dysplastic changes
Excludes
- High-grade dysplasia (K22.711)
Clinical Validation Requirements
- Pathology report indicating low-grade dysplasia
- Endoscopic findings consistent with Barrett's
Coding Notes
Ensure pathology report specifies low-grade dysplasia.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
GERD without esophagitis
K21.9Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Barrett's Esophagus to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K22.70.
Impact
Clinical: Impacts treatment decisions, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials
Mitigation Strategy
Review pathology reports, Use templates for documentation
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure dysplasia is documented and use appropriate dysplasia code.
Impact
Failure to document dysplasia grade can lead to audit issues.
Mitigation Strategy
Use standardized templates and ensure pathology reports are reviewed.
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 Esophagus, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Barrett's Esophagus
Use these documentation templates to ensure complete and accurate documentation for Barrett's Esophagus. These templates include all required elements for proper coding and billing.
Surveillance EGD for Barrett's
Specialty: GastroenterologyRequired Elements
- Endoscopic findings
- Biopsy results
- Dysplasia grade
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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