Wiki Coding GERD with Barrett's esophagus

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G
Code: K21.9

Code Name: ICD-10 Code for Gastro-esophageal reflux disease without esophagitis

Block: Diseases of esophagus, stomach and duodenum (K20-K31)

Excludes 2: hiatus hernia (K44.-)

Details: Gastro-esophageal reflux disease without esophagitis
Esophageal reflux NOS
K21

Excludes1: newborn esophageal reflux (P78.83)

Guidelines: Diseases of the digestive system (K00-K95)

Excludes 2: certain conditions originating in the perinatal period (P04-P96)
certain infectious and parasitic diseases (A00-B99)
complications of pregnancy, childbirth and the puerperium (O00-O9A)
congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
endocrine, nutritional and metabolic diseases (E00-E88)
injury, poisoning and certain other consequences of external causes (S00-T88)
neoplasms (C00-D49)
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

For more details on K21.9, ICD-10 Code for Gastro-esophageal reflux disease without esophagitis , visit: https://coder.aapc.com/icd-10-codes/

PVAzCPC

Networker
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This seems like a really simple question, but I can't find an answer! When documentation states GERD and Barrett's Esophagus, are they coded separately or does it code to GERD with esophagitis? Thanks for your help!
 

pamsbill

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I code them separately. Barrett's is not esophagitis. As far as I know, it is possible to have both or to have just esophagitis (no Barrett's) or Barrett's (no esophagitis). Barrett's is an actual change in the cell structure. Esophagitis is inflammation.
 
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