ICD-10 Coding for History of Barrett's Esophagus(K22.70, Z87.11)
Complete ICD-10-CM coding and documentation guide for History of 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 History of Barrett's Esophagus
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 dysplasia. |
|
| Z87.11 | Personal history of diseases of the digestive system | Use for patients with a history of Barrett's esophagus, now resolved. |
|
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 history of Barrett's esophagus
Essential facts and insights about History of Barrett's Esophagus
Primary ICD-10-CM Codes for history of barrett's esophagus
Decision Criteria
clinical Criteria
- Confirmed intestinal metaplasia without dysplasia
Applicable To
- Barrett's esophagus without dysplasia
Excludes
- Barrett's esophagus with dysplasia (K22.71)
Clinical Validation Requirements
- Endoscopic evidence of columnar epithelium
- Biopsy confirmation of intestinal metaplasia
Code-Specific Risks
- Misclassification if dysplasia is present but not documented
Coding Notes
- Ensure endoscopic and biopsy findings are documented.
Z87.11 - Personal history of diseases of the digestive system
Use for patients with a history of Barrett's esophagus, now resolved.
Applicable To
- History of Barrett's esophagus
Excludes
- Current Barrett's esophagus (K22.7x)
Clinical Validation Requirements
- Documentation of resolved Barrett's esophagus
- No current evidence of Barrett's esophagus
Coding Notes
Ensure history is clearly documented as resolved.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Gastro-esophageal reflux disease without esophagitis
K21.9Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Barrett's esophagus with low-grade dysplasia
K22.710Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting History of 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: Inaccurate assessment of cancer risk, Regulatory: Non-compliance with reporting standards, Financial: Potential claim denials
Mitigation Strategy
Ensure biopsy results are reviewed and documented
Impact
Reimbursement: May lead to claim denials, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate patient records
Mitigation Strategy
Use Z87.11 for history without current disease
Impact
Lack of documentation on dysplasia status can lead to audit flags.
Mitigation Strategy
Ensure all biopsy results are documented with dysplasia status.
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 History of Barrett's Esophagus, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for History of Barrett's Esophagus
Use these documentation templates to ensure complete and accurate documentation for History of Barrett's Esophagus. These templates include all required elements for proper coding and billing.
Routine surveillance for Barrett's esophagus
Specialty: GastroenterologyRequired Elements
- Endoscopic findings
- Biopsy results
- Prague classification
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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