ICD-10 Coding for Gastroscopy(K25.01, K22.70)
Complete ICD-10-CM coding and documentation guide for Gastroscopy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Gastroscopy
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| K25.01 | Acute gastric ulcer with hemorrhage | Use when active bleeding from a gastric ulcer is confirmed during gastroscopy. |
|
| K22.70 | Barrett’s esophagus without dysplasia | Use when Barrett’s esophagus is confirmed by biopsy without dysplasia. |
|
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 gastroscopy
Essential facts and insights about Gastroscopy
Primary ICD-10-CM Codes for gastroscopy
Decision Criteria
clinical Criteria
- Active bleeding observed during endoscopy
Applicable To
- Gastric ulcer with active bleeding
Excludes
- Chronic gastric ulcer without bleeding
Clinical Validation Requirements
- Forrest Ia classification on endoscopy report
- Hemoglobin <10 g/dL
Code-Specific Risks
- Misclassification if bleeding is not active
Coding Notes
- Ensure documentation specifies active bleeding and ulcer location.
K22.70 - Barrett’s esophagus without dysplasia
Use when Barrett’s esophagus is confirmed by biopsy without dysplasia.
Applicable To
- Barrett’s esophagus confirmed by biopsy
Excludes
- Barrett’s esophagus with dysplasia
Clinical Validation Requirements
- Prague classification (C≥1, M≥1)
- Intestinal metaplasia on biopsy
Coding Notes
Document Prague classification and biopsy results.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
EGD with biopsy
43239Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Gastroscopy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K25.01.
Impact
Clinical: Inaccurate diagnosis, Regulatory: Non-compliance with documentation standards, Financial: Potential claim denials
Mitigation Strategy
Use standardized templates, Review documentation guidelines
Impact
Reimbursement: Incorrect modifier use can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate procedural data.
Mitigation Strategy
Use modifier 59 for distinct procedural services, not 51.
Impact
Inadequate documentation of biopsy sites and findings.
Mitigation Strategy
Ensure complete and detailed documentation of all biopsy procedures.
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 Gastroscopy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Gastroscopy
Use these documentation templates to ensure complete and accurate documentation for Gastroscopy. These templates include all required elements for proper coding and billing.
Suspected eosinophilic esophagitis
Specialty: GastroenterologyRequired Elements
- Biopsy locations
- Patient symptoms
- Procedure details
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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