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ICD-10 Guide
ICD-10 CodesK22.82

K22.82

Billable

Esophagogastric junction polyp

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/06/2025

Code Description

ICD-10 K22.82 is a billable code used to indicate a diagnosis of esophagogastric junction polyp.

Key Diagnostic Point:

Esophagogastric junction polyp (EGJ polyp) is a benign growth located at the junction of the esophagus and stomach. Clinically, patients may present with symptoms such as dysphagia (difficulty swallowing), gastroesophageal reflux disease (GERD), or epigastric pain. Anatomically, the esophagogastric junction is a critical area where the esophagus connects to the stomach, and polyps in this region can disrupt normal function. Disease progression can vary; while many EGJ polyps remain asymptomatic, some may lead to complications such as obstruction or bleeding. Diagnostic considerations include endoscopy, where the polyp can be visualized and potentially biopsied to rule out malignancy. Histological examination is crucial for confirming the diagnosis and determining the appropriate management plan. Regular monitoring may be necessary, especially in patients with a history of GERD or other risk factors for esophageal pathology.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires endoscopic evaluation and histological confirmation.
  • Treatment complexity: May involve surveillance, endoscopic removal, or surgical intervention depending on size and symptoms.
  • Documentation requirements: Detailed clinical notes and imaging results are essential for accurate coding.
  • Coding specificity: Requires precise coding to differentiate from other gastrointestinal conditions.

Audit Risk Factors

  • Common coding errors: Misclassification with other esophageal disorders.
  • Documentation gaps: Incomplete clinical notes or lack of biopsy results.
  • Billing challenges: Potential denials if the medical necessity is not clearly documented.

Specialty Focus

Medical Specialties

Gastroenterology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Surgery

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related ICD-10 Codes

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Esophagogastric junction polyps, while often benign, can significantly impact patient quality of life due to associated symptoms like dysphagia and GERD. Understanding the prevalence and management of these polyps is essential for improving population health outcomes. Effective diagnosis and treatment can reduce healthcare utilization patterns, such as emergency visits for complications, and enhance quality measures related to gastrointestinal health.

ICD-9 vs ICD-10

Esophagogastric junction polyps, while often benign, can significantly impact patient quality of life due to associated symptoms like dysphagia and GERD. Understanding the prevalence and management of these polyps is essential for improving population health outcomes. Effective diagnosis and treatment can reduce healthcare utilization patterns, such as emergency visits for complications, and enhance quality measures related to gastrointestinal health.

Reimbursement & Billing Impact

Reimbursement considerations include ensuring that the procedure performed is medically necessary and supported by clinical evidence. Common denials may arise from insufficient documentation or failure to demonstrate the necessity of endoscopic procedures. Best practices include maintaining thorough clinical notes, ensuring that all relevant findings are documented, and using appropriate modifiers when necessary to indicate the complexity of the case.

Resources

Clinical References

  • •
    ICD-10 Official Guidelines for K00-K99
  • •
    Clinical Documentation Requirements

Coding & Billing References

  • •
    ICD-10 Official Guidelines for K00-K99
  • •
    Clinical Documentation Requirements

Frequently Asked Questions

What specific conditions are covered by K22.82?

K22.82 specifically covers esophagogastric junction polyps, which are benign lesions found at the junction of the esophagus and stomach. It does not cover malignant lesions or other types of esophageal polyps.

When should K22.82 be used instead of related codes?

K22.82 should be used when a patient has a confirmed diagnosis of an esophagogastric junction polyp, particularly when symptoms or findings are directly related to this specific condition, differentiating it from other esophageal disorders.

What documentation supports K22.82?

Documentation should include endoscopic findings, biopsy results confirming the presence of a polyp, and any relevant patient history such as symptoms or previous gastrointestinal conditions.