ICD-10 Coding for Eosinophilic Esophagitis(K20.0)
Complete ICD-10-CM coding and documentation guide for Eosinophilic Esophagitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Eosinophilic Esophagitis
K20-K22Primary Range
Diseases of esophagus
This range includes conditions affecting the esophagus, including eosinophilic esophagitis.
Key Information: ICD-10 code for eosinophilic esophagitis
Essential facts and insights about Eosinophilic Esophagitis
Primary ICD-10-CM Code for eosinophilic esophagitis
Decision Criteria
clinical Criteria
- Biopsy shows ≥15 eosinophils/hpf
documentation Criteria
- Exclusion of other causes like GERD
Applicable To
- Eosinophilic esophagitis confirmed by biopsy
Excludes
- PPI-responsive esophageal eosinophilia
Clinical Validation Requirements
- Biopsy showing ≥15 eosinophils per high power field
- Exclusion of other causes like GERD
Code-Specific Risks
- Misclassification if biopsy results are not documented
Coding Notes
- Ensure biopsy results are documented and other causes are excluded before using K20.0.
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 Eosinophilic Esophagitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K20.0.
Impact
Clinical: May lead to misdiagnosis of EoE., Regulatory: Non-compliance with coding standards., Financial: Potential reimbursement issues.
Mitigation Strategy
Ensure PPI trial details are documented., Verify biopsy results before coding.
Impact
Reimbursement: Incorrect DRG assignment may affect reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Always use K20.0 if biopsy confirms eosinophilia.
Impact
Lack of biopsy documentation can lead to audit issues.
Mitigation Strategy
Ensure all biopsy results are clearly documented in the patient's record.
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 Eosinophilic Esophagitis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Eosinophilic Esophagitis
Use these documentation templates to ensure complete and accurate documentation for Eosinophilic Esophagitis. These templates include all required elements for proper coding and billing.
Biopsy-confirmed EoE with dysphagia
Specialty: GastroenterologyRequired Elements
- Biopsy results
- PPI trial details
- Symptom description
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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