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Home/Diagnosis/ICD-10 Coding for GERD Unspecified (K21.9)

ICD-10 Coding for GERD Unspecified (K21.9)

K21.9

Complete ICD-10-CM coding and documentation guide for icd-10 coding for gerd unspecified (k21.9) includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Gastroesophageal Reflux Disease Unspecified
Acid Reflux Unspecified
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Key Information: ICD-10 Coding for GERD Unspecified (K21.9)

Essential facts and insights about ICD-10 Coding for GERD Unspecified (K21.9)

Use ICD-10 code K21.9 for gastro-esophageal reflux disease without esophagitis, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Gastro-esophageal reflux disease without esophagitis

Billable Code
K21.9
Billable

Diagnostic Criteria

clinical:
  • • Endoscopy shows no esophagitis
documentation:
  • • Provider notes absence of esophagitis

Applicable To

  • • GERD without esophagitis
  • • Acid reflux without esophagitis

Important Notes

  • • Ensure documentation explicitly states absence of esophagitis.
Ancillary Codes

Additional codes that may be used with this diagnosis

K22.70

Barrett’s esophagus without dysplasia

Use when Barrett’s esophagus is present without dysplasia.

J98.01

Acute bronchospasm

Use if GERD exacerbates respiratory symptoms.

Frequently Asked Questions

What is the ICD-10 code for GERD unspecified?

The ICD-10 code for GERD unspecified is K21.9, used when GERD is diagnosed without evidence of esophagitis or bleeding.

When should K21.9 be used?

Use K21.9 when GERD is diagnosed without esophagitis or bleeding, confirmed by endoscopy and pH monitoring.

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