5 ICD-10 Codes for Gastroesophageal Reflux
Gastroesophageal reflux disease (GERD) is a chronic condition where stomach acid flows back into the esophagus, causing irritation and discomfort. Below are five ICD-10 codes related to gastroesophageal reflux, each addressing specific aspects of the condition:
K21.9 - Gastro-esophageal reflux disease without esophagitis
This code is used when a patient has GERD without evidence of inflammation or damage to the esophagus. It is a general diagnosis for reflux symptoms like heartburn, regurgitation, or acid indigestion.K21.0 - Gastro-esophageal reflux disease with esophagitis
This code is used when GERD is accompanied by esophagitis, an inflammation of the esophagus caused by prolonged exposure to stomach acid. Symptoms may include severe heartburn, difficulty swallowing, or chest pain.K21.8 - Other gastro-esophageal reflux disease
This code is used for less common or unspecified forms of GERD, such as reflux associated with respiratory symptoms (e.g., chronic cough or asthma) or other atypical presentations.R12 - Heartburn
This code is used to specifically document heartburn, a common symptom of GERD. It may be used in conjunction with GERD codes when heartburn is the primary complaint or a significant symptom.K52.81 - Barrett’s esophagus
While not a direct GERD code, Barrett’s esophagus is a serious complication of chronic GERD, where the lining of the esophagus changes due to prolonged acid exposure. This code is used when Barrett’s esophagus is diagnosed in a patient with a history of GERD.
What is the difference between K21.9 and K21.0?
+K21.9 is used for GERD without esophagitis, while K21.0 is used when esophagitis (inflammation of the esophagus) is present.
Can R12 be used alone for GERD?
+No, R12 is specifically for heartburn and should be used in conjunction with GERD codes (e.g., K21.9) when heartburn is a primary symptom.
When is K52.81 used in GERD cases?
+K52.81 is used when a patient with GERD develops Barrett’s esophagus, a precancerous condition caused by chronic acid exposure.
What does K21.8 cover?
+K21.8 is used for other forms of GERD, such as reflux with respiratory symptoms or atypical presentations not covered by K21.0 or K21.9.