ICD-10 Coding for Dysmotility of the Esophagus(K22.4, K22.89)
Complete ICD-10-CM coding and documentation guide for Dysmotility of the Esophagus. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Dysmotility of the Esophagus
K22.4Primary Range
Esophageal dyskinesia
Primary code for esophageal motility disorders without obstruction.
Other specified diseases of esophagus
Used for esophagogastric junction outflow obstruction (EGJOO) and other specified conditions.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| K22.4 | Esophageal dyskinesia | Use when HRM confirms esophageal motility disorder without obstruction. |
|
| K22.89 | Other specified diseases of esophagus | Use for EGJOO confirmed by HRM with elevated IRP. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for dysmotility of the esophagus
Essential facts and insights about Dysmotility of the Esophagus
Primary ICD-10-CM Codes for dysmotility of the esophagus
Decision Criteria
clinical Criteria
- HRM shows ≥20% failed peristalsis
documentation Criteria
- Documented HRM findings and symptom correlation
Applicable To
- Esophageal motility disorder
- Ineffective esophageal motility
Clinical Validation Requirements
- HRM showing ≥20% failed peristalsis
- FLIP <13mm EGJ diameter
Code-Specific Risks
- Confusion with K22.89 for EGJOO
- Incorrect use without HRM confirmation
Coding Notes
- Ensure HRM findings are documented to support this code.
K22.89 - Other specified diseases of esophagus
Use for EGJOO confirmed by HRM with elevated IRP.
Applicable To
- Esophagogastric junction outflow obstruction (EGJOO)
Excludes
- Achalasia (K22.0)
Clinical Validation Requirements
- IRP >15 mmHg on HRM
- Intact peristalsis
Coding Notes
Ensure HRM findings support the use of this code.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Dysmotility of the Esophagus to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K22.4.
Impact
Clinical: Inaccurate diagnosis representation., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Ensure HRM results are included in documentation., Verify coding accuracy with clinical findings.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Verify HRM findings to ensure correct code selection.
Impact
Claims for K22.4 without HRM documentation.
Mitigation Strategy
Implement EHR checks for HRM documentation.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Dysmotility of the Esophagus, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Dysmotility of the Esophagus
Use these documentation templates to ensure complete and accurate documentation for Dysmotility of the Esophagus. These templates include all required elements for proper coding and billing.
Esophageal motility disorder diagnosis
Specialty: GastroenterologyRequired Elements
- HRM findings
- Symptom correlation
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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