Barrett's esophagus with dysplasia, unspecified
ICD-10 K22.719 is a billable code used to indicate a diagnosis of barrett's esophagus with dysplasia, unspecified.
Barrett's esophagus with dysplasia, unspecified, is a condition characterized by the abnormal change in the cells lining the esophagus, often as a result of 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 epithelial cells are replaced by columnar cells, a process known as intestinal metaplasia. The presence of dysplasia indicates that these cells have undergone precancerous changes, which can progress to esophageal adenocarcinoma if left untreated. Diagnosis typically involves endoscopic examination and biopsy, where histological evaluation confirms the presence and grade of dysplasia. The unspecified nature of this code indicates that the specific grade of dysplasia (low or high) is not documented, which can affect management and surveillance strategies. Regular monitoring and potential treatment options, including endoscopic therapy or surgical intervention, are crucial in managing this condition to prevent progression to cancer.
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
K22.719 covers Barrett's esophagus with unspecified dysplasia, indicating the presence of precancerous changes in the esophageal lining without specifying the grade of dysplasia. This code is used when the dysplastic changes are noted but not classified as low or high grade.
K22.719 should be used when a patient has Barrett's esophagus with dysplasia, but the specific grade of dysplasia is not documented. If the grade is known, the appropriate specific code should be selected (e.g., K22.711 for low-grade dysplasia).
Documentation should include endoscopic findings, biopsy results indicating dysplasia, and any relevant clinical symptoms. Clear notes on the absence of specific dysplasia grading are essential to justify the use of K22.719.
