ICD-10 Coding for Gastroparesis(K31.84, E10.43)
Complete ICD-10-CM coding and documentation guide for Gastroparesis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Gastroparesis
Diabetes with gastroparesis
Used for diabetic gastroparesis, requires additional code K31.84.
Other specified diseases of stomach and duodenum
Used for malignant gastroparesis when no specific index entry exists.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| K31.84 | Gastroparesis | Use for non-diabetic gastroparesis confirmed by diagnostic testing. |
|
| E10.43 | Type 1 diabetes mellitus with diabetic autonomic (poly)neuropathy | Use when gastroparesis is secondary to Type 1 diabetes. |
|
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 gastroparesis
Essential facts and insights about Gastroparesis
Primary ICD-10-CM Codes for gastroparesis
Decision Criteria
clinical Criteria
- Confirmed delayed gastric emptying without obstruction
Clinical Validation Requirements
- Gastric emptying study showing >10% retention at 4 hours
- EGD confirming absence of mechanical obstruction
Code-Specific Risks
- Incorrectly using for diabetic cases without diabetes code
Coding Notes
- Ensure documentation of gastric emptying study and absence of obstruction.
E10.43 - Type 1 diabetes mellitus with diabetic autonomic (poly)neuropathy
Use when gastroparesis is secondary to Type 1 diabetes.
Applicable To
- Diabetic gastroparesis
Clinical Validation Requirements
- Documentation of Type 1 diabetes
- Evidence of autonomic neuropathy
Coding Notes
Sequence diabetes code before gastroparesis.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Right upper quadrant pain
R10.11Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Gastroparesis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K31.84.
Impact
Clinical: Misrepresentation of patient's condition, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials
Mitigation Strategy
Verify diabetes status before coding, Use coding guidelines for sequence
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Always add K31.84 to specify gastroparesis.
Impact
Failure to code both diabetes and gastroparesis.
Mitigation Strategy
Ensure both conditions are documented and coded.
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 Gastroparesis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Gastroparesis
Use these documentation templates to ensure complete and accurate documentation for Gastroparesis. These templates include all required elements for proper coding and billing.
Diabetic Gastroparesis
Specialty: GastroenterologyRequired Elements
- Gastric emptying study results
- EGD findings
- Diabetes status
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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