Wiki LA Grade Esophagitis

[Lcervant19]

What is LA Grade C Esophagitis coded to for ICD 10? What is the coding path?

 

[fwnewbie]

Have you looked up a definition for it? I found one on google.

 

[Lcervant19]

What do you mean? I know LA Grade B esophagitis is reported to K21.0 but I'm not sure what grade C should be coded to?

 

[lefevrec]

Hi there, you would not code based on the grade. The grade is about the amount of erosion. However the ICD-10 codes are not divided that way.
To find your code, use the index, starting at esophagitis. Does your report specify reflux esophagitis, GERD, or another type? Or does it ONLY say LA Grade C esophagitis? If it ONLY says esophagitis, you can code K20.9 for esophagitis, unspecified. Hope that helped.

 

[fwnewbie]

I don't have the definitions up, is there bleeding? erosion?

 

[fwnewbie]

The ICD description is confusing to me but if there is sign of active inflammation then K21.0, but if a scope shows no active bleeding/inflammation, then K21.9. Does this make sense?

 

[Lcervant19]

OP report says "LA grade C esophagitis" with no bleeding found in lower 3rd of esophagus. biopsied. path report said no abnormalities

 

[fwnewbie]

Aha! Then no bleeding and no abnormalities on path so code as no active inflammation per ICD description.

 

[Lcervant19]

Thank you

 

[fwnewbie]

You're welcome. This is like a big puzzle to me and I love snooping around for all kinds of things.