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v1.0.0
ICD-10 Guide
DiagnosesGastric Polyp

Gastric Polyp

ICD-10 Coding for Gastric Polyp(K31.7, D13.1)

PRIMARY SPECIALTYGastroenterology
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Gastric Polyp?
Essential facts and insights about Gastric Polyp

Key Clinical Considerations:

  • Asymptomatic or nonspecific gastrointestinal symptoms
  • Endoscopic findings of polyps during upper GI examination
  • Possible abdominal tenderness upon palpation

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient history including symptoms and risk factors
  • Endoscopic reports detailing size, number, and type of polyps
  • Pathology reports confirming polyp type (e.g., adenomatous, hyperplastic)

Coding Guidelines

Usage Guidelines & Examples

  • Follow usage guidelines for benign neoplasms versus malignant conditions.
  • Common errors include misclassifying polyp type or failing to document size.

Code Exclusions

Important Exclusions

  • Malignant gastric tumors
  • Other gastrointestinal polyps not located in the stomach

Related ICD-10 Codes

Primary Codes
D13.1
Benign neoplasm of stomach
K31.5
Polyp of stomach
Ancillary Codes
Z12.11
Z80.0
Differential Codes
D13.1
K31.7
K31.7
for non-neoplastic polyps.

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Gastroenterology

Specialty Applications

  • Adults and children with gastrointestinal symptoms
  • Outpatient gastroenterology clinics and inpatient settings

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

What are the documentation requirements?

Document the patient's symptoms, endoscopic findings, and pathology results.

What are the billing considerations?

Ensure accurate coding based on the type of polyp and associated procedures.