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Home/Diagnosis/ICD-10 Coding for Gastroesophageal Reflux Disease without Esophagitis (K21.9)

ICD-10 Coding for Gastroesophageal Reflux Disease without Esophagitis (K21.9)

K21.9

Complete ICD-10-CM coding and documentation guide for icd-10 coding for gastroesophageal reflux disease without esophagitis (k21.9) includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
GERD without esophagitis
Non-erosive reflux disease
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Key Information: ICD-10 Coding for Gastroesophageal Reflux Disease without Esophagitis (K21.9)

Essential facts and insights about ICD-10 Coding for Gastroesophageal Reflux Disease without Esophagitis (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 confirms absence of esophagitis.
documentation:
  • • Provider note must state 'GERD without esophagitis'.

Applicable To

  • • GERD without esophagitis

Important Notes

  • • Ensure documentation explicitly states 'without esophagitis'.
Ancillary Codes

Additional codes that may be used with this diagnosis

R12

Heartburn

Use for documenting symptoms related to GERD.

Frequently Asked Questions

What is ICD-10 code K21.9?

ICD-10 code K21.9 is used for gastro-esophageal reflux disease without esophagitis, confirmed by endoscopy showing no esophageal inflammation.

How to code GERD without esophagitis?

Code K21.9 should be used when GERD is confirmed without esophagitis, as evidenced by endoscopy or pH monitoring.

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