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Home/Diagnosis/ICD-10 Coding for Reflux Esophagitis

ICD-10 Coding for Reflux Esophagitis

K21.01
K21.00
K21.9

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

Also Known as:
Erosive Esophagitis
GERD with Esophagitis
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Key Information: ICD-10 Coding for Reflux Esophagitis

Essential facts and insights about ICD-10 Coding for Reflux Esophagitis

Use ICD-10 code K21.01 for gastro-esophageal reflux disease with esophagitis, with bleeding, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Gastro-esophageal reflux disease with esophagitis, with bleeding

Billable Code
K21.01
Billable

Diagnostic Criteria

  • • Endoscopic evidence of esophagitis with bleeding
  • • Histological confirmation of esophagitis

Applicable To

  • • GERD with esophagitis and active bleeding

Important Notes

  • • Ensure bleeding is documented to use this code.

Gastro-esophageal reflux disease with esophagitis, without bleeding

Billable Code
K21.00
Billable

Diagnostic Criteria

  • • Endoscopic evidence of esophagitis
  • • Histological confirmation of esophagitis

Applicable To

  • • GERD with esophagitis without bleeding

Important Notes

  • • Ensure esophagitis is documented without bleeding.

Gastro-esophageal reflux disease without esophagitis

Billable Code
K21.9
Billable

Diagnostic Criteria

  • • Negative endoscopy for esophagitis

Applicable To

  • • GERD without esophagitis

Important Notes

  • • Ensure no evidence of esophagitis is documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

B96.81

Helicobacter pylori as the cause of diseases classified elsewhere

Use if H. pylori is documented as a causal factor.

Z72.0

Tobacco use

Use if tobacco use is documented as a complicating factor.

Frequently Asked Questions

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

The ICD-10 code for reflux esophagitis with bleeding is K21.01. This code is used when GERD is present with esophagitis and active bleeding.

How do you code GERD without esophagitis?

For GERD without esophagitis, use ICD-10 code K21.9. This code applies when there is no endoscopic or histological evidence of esophagitis.

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