ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesChapter 11: Diseases of the digestive systemK31

K31

Non-billable

Other diseases of stomach and duodenum

Chapter 11:Diseases of the digestive system

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

Code Description

ICD-10 K31 is a used to indicate a diagnosis of other diseases of stomach and duodenum.

Key Diagnostic Point:

K31 encompasses a variety of diseases affecting the stomach and duodenum that do not fall under more specific categories. Conditions such as gastritis, peptic ulcers, and gastric polyps may be included, presenting with symptoms like abdominal pain, nausea, vomiting, and changes in appetite. The stomach and duodenum are critical components of the digestive system, responsible for the initial stages of food digestion and nutrient absorption. Disease progression can vary; for instance, chronic gastritis may lead to atrophy of the gastric mucosa, increasing the risk of gastric cancer. Diagnostic considerations include endoscopy, imaging studies, and laboratory tests to assess for H. pylori infection, anemia, or other underlying conditions. Accurate diagnosis is essential for effective management, which may involve lifestyle modifications, pharmacotherapy, or surgical interventions depending on the severity and nature of the disease.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Varies based on the underlying condition and may require multiple tests.
  • Treatment complexity: Can range from simple dietary changes to complex surgical procedures.
  • Documentation requirements: Requires detailed clinical notes and diagnostic evidence.
  • Coding specificity: Moderate specificity; requires understanding of related conditions.

Audit Risk Factors

  • Common coding errors: Misclassification of specific conditions.
  • Documentation gaps: Incomplete clinical notes leading to ambiguity.
  • Billing challenges: Potential for denials if documentation does not support the diagnosis.

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

Internal Medicine

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 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

Conditions classified under K31 can significantly affect patient quality of life and healthcare utilization. They may lead to increased hospital visits, diagnostic testing, and potential surgical interventions. Understanding the epidemiology of these conditions is crucial for public health initiatives aimed at prevention and early intervention, particularly in populations at higher risk for gastrointestinal diseases.

ICD-9 vs ICD-10

Conditions classified under K31 can significantly affect patient quality of life and healthcare utilization. They may lead to increased hospital visits, diagnostic testing, and potential surgical interventions. Understanding the epidemiology of these conditions is crucial for public health initiatives aimed at prevention and early intervention, particularly in populations at higher risk for gastrointestinal diseases.

Reimbursement & Billing Impact

Reimbursement may vary based on the complexity of the condition and the treatment provided. Common denials can occur if the documentation does not clearly support the diagnosis or if there are discrepancies between the diagnosis and the procedure codes billed. Coders should ensure that all relevant clinical information is included in the medical record to facilitate accurate billing and minimize the risk of audits.

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 K31?

K31 covers a range of conditions including chronic gastritis, gastric polyps, and functional dyspepsia. Each condition has specific diagnostic criteria, often requiring endoscopic evaluation or imaging studies to confirm.

When should K31 be used instead of related codes?

K31 should be used when the specific diagnosis is not clearly defined or when multiple diseases of the stomach and duodenum are present that do not fit into more specific categories like K25 or K29.

What documentation supports K31?

Documentation should include clinical findings, diagnostic test results, treatment plans, and follow-up notes. Clear evidence of symptoms and the rationale for diagnosis is crucial for supporting the use of K31.