Barrett's esophagus with high grade dysplasia
ICD-10 K22.711 is a billable code used to indicate a diagnosis of barrett's esophagus with high grade dysplasia.
Barrett's esophagus with high-grade dysplasia is a precancerous condition characterized by the abnormal transformation of the esophageal lining due to chronic gastroesophageal reflux disease (GERD). Clinically, patients may present with symptoms such as heartburn, regurgitation, and difficulty swallowing. Anatomically, Barrett's esophagus involves the lower esophagus, where the normal squamous epithelium is replaced by columnar epithelium, a process known as intestinal metaplasia. The progression from Barrett's esophagus to high-grade dysplasia indicates significant cellular abnormalities that heighten the risk of esophageal adenocarcinoma. Diagnosis typically involves endoscopy with biopsy, where pathologists assess the degree of dysplasia. High-grade dysplasia is marked by severe architectural and cytological abnormalities, necessitating careful monitoring and potential intervention, such as endoscopic mucosal resection or ablation. Regular surveillance is crucial for early detection of progression to cancer, making timely diagnosis and management essential in preventing adverse outcomes.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
K22.711 specifically covers Barrett's esophagus with high-grade dysplasia, which is characterized by severe cellular abnormalities in the esophageal lining. It is a critical condition that requires careful monitoring due to its association with an increased risk of esophageal cancer.
K22.711 should be used when a patient has been diagnosed with Barrett's esophagus and has been confirmed to have high-grade dysplasia through biopsy. It is important to differentiate this from Barrett's esophagus without dysplasia (K22.710) or low-grade dysplasia (K22.712) for appropriate management.
Documentation for K22.711 should include endoscopic findings, biopsy results confirming high-grade dysplasia, and a comprehensive history of the patient's gastroesophageal reflux disease. Additionally, any treatment plans or follow-up recommendations should be clearly outlined.
