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Home/Diagnosis/ICD-10 Coding for Gastroesophageal Reflux Disease

ICD-10 Coding for Gastroesophageal Reflux Disease

K21.0
K21.9
K21.01

Complete ICD-10-CM coding and documentation guide for icd-10 coding for gastroesophageal reflux disease includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
GERD
Acid Reflux
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Key Information: ICD-10 Coding for Gastroesophageal Reflux Disease

Essential facts and insights about ICD-10 Coding for Gastroesophageal Reflux Disease

Use ICD-10 code K21.0 for gastro-esophageal reflux disease with esophagitis, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Gastro-esophageal reflux disease with esophagitis

Non-Billable
K21.0
Non-Billable

Diagnostic Criteria

  • • Endoscopic evidence of esophagitis

Applicable To

  • • Reflux esophagitis

Important Notes

  • • Ensure endoscopic findings are documented to support this code.

Gastro-esophageal reflux disease without esophagitis

Billable Code
K21.9
Billable

Diagnostic Criteria

  • • Symptoms of GERD without endoscopic evidence of esophagitis

Applicable To

  • • Non-erosive reflux disease (NERD)

Important Notes

  • • Document symptoms clearly to differentiate from other conditions.

Gastro-esophageal reflux disease with esophagitis and bleeding

Billable Code
K21.01
Billable

Diagnostic Criteria

  • • Endoscopic evidence of esophagitis with bleeding

Applicable To

  • • GERD with bleeding

Important Notes

  • • Ensure bleeding is documented in the clinical record.
Ancillary Codes

Additional codes that may be used with this diagnosis

K44.-

Diaphragmatic hernia

Use if hiatal hernia is present with GERD.

R12

Heartburn

Use if heartburn is a primary symptom without confirmed GERD.

Frequently Asked Questions

What is the ICD-10 code for gastroesophageal reflux disease with esophagitis?

The ICD-10 code for gastroesophageal reflux disease with esophagitis is K21.0. This code is used when endoscopic evidence confirms esophagitis.

How is GERD without esophagitis coded in ICD-10?

GERD without esophagitis is coded as K21.9 in ICD-10. This code applies when GERD symptoms are present but esophagitis is not confirmed.

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