Gastroesophageal Reflux Disease

A type 1 excludes note is a pure excludes. It means “not coded here”. A type 1 excludes note indicates that the code excluded should never be used at the same time as K21. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form view publisher site of the same condition. Text is available under the Creative Commons Attribution-ShareAlike License ; additional terms may apply. By using this site, you agree to the Terms of Use and Privacy Policy Wikipedia® is a registered trademark of the Wikimedia Foundation, Inc. , a non-profit organization.

The backward flow of stomach acid contents into the esophagus (the tube that connects the mouth to the stomach). A type 2 Excludes note represents ‘Not included here’. An Excludes2 note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When an Excludes2 note appears under a code it is acceptable to use both the code and the excluded code together. Other causes of chest pain such as heart disease should be ruled out before making the diagnosis. 29 Another kind of acid reflux, which causes respiratory and laryngeal signs and symptoms, is called laryngopharyngeal reflux (LPR) or ” extraesophageal reflux disease ” (EERD). Unlike GERD, LPR rarely produces heartburn, and is sometimes called silent reflux.

This is the American ICD-10-CM version of K21.9 – other international versions of ICD-10 K21.9 may differ. The 1st character of the code identifies the section. Sections relate to the type of procedure. For example, a chest x-ray is an imaging procedure and a breast biopsy is a medical and surgical procedure. You see, acid reflux is a serious condition that can lead to dangerous health complications If left untreated, acid reflux can, over time, go beyond pain or irritation and lead to dangerous complications such as dissolved enamel on teeth; fluids in the sinuses, lungs, and middle ears; ulcers; and erosive esophagitis.

When ICD 10 was implemented on October 1, 2015, it did not affect physicians’, outpatient facilities’, and hospital outpatient departments’ use of CPT codes on Medicare Fee-For-Service claims. Providers should continue to use CPT codes to report these services. Endoscopic image of peptic stricture, or narrowing of the esophagus near the junction with the stomach : This is a complication of chronic gastroesophageal reflux disease and can be a cause of dysphagia or difficulty swallowing. A type 2 excludes note represents “not included here”. A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (K20-K31) and the excluded code together.

Gastroesophageal reflux (GERD) is a digestive disease when stomach acid and sometimes stomach content, flows from the stomach back into the esophagus. The reflux irritates the lining of the esophagus and causes GERD. Symptoms include chest pain, dry cough, hoarseness, sensation of a lump in the throat, a burning sensation in the chest, and a sour taste in the mouth. The first character always specifies the section. The 2nd – 7th characters mean the same thing within each section, but may mean different things in other sections. In all sections, the third character specifies the general type of procedure performed, while the other characters give additional information.

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