Perforation of esophagus
ICD-10 K22.3 is a billable code used to indicate a diagnosis of perforation of esophagus.
Perforation of the esophagus is a critical condition characterized by a breach in the esophageal wall, which can lead to severe complications such as mediastinitis, sepsis, and pneumothorax. The esophagus, a muscular tube connecting the throat to the stomach, is anatomically divided into three sections: cervical, thoracic, and abdominal. Perforation can occur due to various factors, including trauma, foreign body ingestion, malignancy, or as a complication of medical procedures such as endoscopy. Clinically, patients may present with acute chest pain, dysphagia, fever, and signs of systemic infection. The progression of the disease can be rapid, necessitating prompt diagnosis and intervention. Diagnostic considerations include imaging studies such as chest X-rays, CT scans, and esophagography, which can help identify the location and extent of the perforation. Early recognition and management are crucial to prevent life-threatening complications and improve patient 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
K22.3 specifically covers perforation of the esophagus, which can result from various etiologies such as trauma, malignancy, or procedural complications. It does not include perforations due to foreign bodies or other gastrointestinal structures.
K22.3 should be used when there is a confirmed diagnosis of esophageal perforation, particularly when the perforation is acute and requires surgical intervention. Related codes may be used for other esophageal conditions that do not involve perforation.
Documentation should include clinical findings, imaging results, the cause of perforation, and any associated complications. Detailed operative notes and discharge summaries are essential for supporting the diagnosis.
