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

ICD-10 Coding for Gastroesophageal Reflux Disorder

K21.00
K21.01
K21.9

Complete ICD-10-CM coding and documentation guide for icd-10 coding for gastroesophageal reflux disorder 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 Disorder

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

Use ICD-10 code K21.00 for gastro-esophageal reflux disease with esophagitis, without bleeding, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Gastro-esophageal reflux disease with esophagitis, without bleeding

Billable Code
K21.00
Billable

Diagnostic Criteria

  • • Endoscopy confirms esophagitis without bleeding.

Applicable To

  • • GERD with esophagitis

Important Notes

  • • Ensure documentation specifies esophagitis without bleeding.

Gastro-esophageal reflux disease with esophagitis, with bleeding

Billable Code
K21.01
Billable

Diagnostic Criteria

  • • Endoscopy showing esophagitis with active bleeding

Applicable To

  • • GERD with esophagitis and bleeding

Important Notes

  • • Document both esophagitis and bleeding clearly.

Gastro-esophageal reflux disease without esophagitis

Billable Code
K21.9
Billable

Diagnostic Criteria

  • • Typical GERD symptoms without endoscopic evidence

Applicable To

  • • GERD without esophagitis

Important Notes

  • • Ensure no esophagitis is documented.
Frequently Asked Questions

What is the ICD-10 code for GERD with esophagitis?

The ICD-10 code for GERD with esophagitis without bleeding is K21.00, and with bleeding is K21.01.

How do you document GERD for coding?

Document GERD by including patient symptoms, endoscopy findings, and specify if esophagitis or bleeding is present.

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