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ICD-10 Guide
ICD-10 CodesK31.2

K31.2

Billable

Hourglass stricture and stenosis of stomach

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

Code Description

ICD-10 K31.2 is a billable code used to indicate a diagnosis of hourglass stricture and stenosis of stomach.

Key Diagnostic Point:

Hourglass stricture and stenosis of the stomach are conditions characterized by a narrowing of the gastric lumen, leading to obstructive symptoms. This stricture can occur due to various etiologies, including chronic gastritis, peptic ulcer disease, or malignancies. Clinically, patients may present with symptoms such as postprandial pain, early satiety, nausea, vomiting, and weight loss. The anatomy involved primarily includes the stomach, particularly the pyloric region, which can become constricted, resembling an hourglass shape on imaging studies. Disease progression may lead to significant complications, including gastric outlet obstruction, malnutrition, and dehydration. Diagnostic considerations include upper gastrointestinal endoscopy, barium swallow studies, and imaging techniques such as CT scans to assess the extent of the stricture and rule out malignancy. Early diagnosis and intervention are crucial to prevent severe complications and improve patient outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires imaging and endoscopic evaluation to confirm diagnosis.
  • Treatment complexity: May involve surgical intervention or endoscopic dilation.
  • Documentation requirements: Detailed clinical notes and imaging reports are necessary.
  • Coding specificity: Requires precise coding to differentiate from other gastrointestinal disorders.

Audit Risk Factors

  • Common coding errors: Misclassification with other gastric disorders.
  • Documentation gaps: Incomplete clinical notes or lack of imaging reports.
  • Billing challenges: Denials may occur 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

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

Hourglass stricture and stenosis of the stomach can significantly impact patient quality of life, leading to malnutrition and increased healthcare utilization due to frequent hospitalizations. Understanding the epidemiology of this condition is essential for healthcare providers, as it may be more prevalent in populations with high rates of peptic ulcer disease or chronic gastritis. Quality measures should focus on timely diagnosis and effective management to improve patient outcomes.

ICD-9 vs ICD-10

Hourglass stricture and stenosis of the stomach can significantly impact patient quality of life, leading to malnutrition and increased healthcare utilization due to frequent hospitalizations. Understanding the epidemiology of this condition is essential for healthcare providers, as it may be more prevalent in populations with high rates of peptic ulcer disease or chronic gastritis. Quality measures should focus on timely diagnosis and effective management to improve patient outcomes.

Reimbursement & Billing Impact

Reimbursement considerations include the complexity of the case and the necessity of surgical intervention or endoscopic procedures. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity. Coders should ensure that all relevant clinical information is included in the patient's record to facilitate accurate billing and reduce 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 K31.2?

K31.2 specifically covers hourglass stricture and stenosis of the stomach, which may arise from chronic inflammatory conditions, peptic ulcers, or neoplastic processes. It is essential to differentiate this condition from other types of gastric obstruction.

When should K31.2 be used instead of related codes?

K31.2 should be used when there is a confirmed diagnosis of hourglass stricture or stenosis of the stomach, particularly when imaging studies or endoscopy indicate a narrowing of the gastric lumen that fits this description.

What documentation supports K31.2?

Documentation should include clinical symptoms, results from imaging studies (e.g., CT, endoscopy), and any relevant laboratory findings. Detailed notes on the patient's history and the clinical rationale for the diagnosis are also necessary.