Barrett's esophagus with dysplasia
ICD-10 K22.71 is a used to indicate a diagnosis of barrett's esophagus with dysplasia.
Barrett's esophagus with dysplasia is a condition characterized by the abnormal transformation of the squamous epithelium of the esophagus into columnar epithelium, often as a consequence of chronic gastroesophageal reflux disease (GERD). Clinically, patients may present with symptoms such as heartburn, regurgitation, and difficulty swallowing. The condition is significant because it increases the risk of developing esophageal adenocarcinoma. Anatomically, Barrett's esophagus affects the lower esophagus, where the normal squamous lining is replaced by intestinal-type columnar cells. Disease progression can lead to low-grade dysplasia, which indicates early cellular changes that may precede cancer, or high-grade dysplasia, which is a more advanced stage with a higher risk of malignancy. Diagnostic considerations include endoscopic evaluation and biopsy to confirm the presence of dysplastic changes. Regular surveillance is recommended for patients diagnosed with Barrett's esophagus to monitor for 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
K22.71 specifically covers Barrett's esophagus with dysplasia, which includes both low-grade and high-grade dysplasia. It is important to document the grade of dysplasia accurately as it influences management and surveillance strategies.
K22.71 should be used when there is confirmed dysplasia in a patient with Barrett's esophagus. If dysplasia is not present, K22.70 should be used. Accurate biopsy results are critical for code selection.
Documentation should include endoscopy reports, biopsy results indicating dysplasia, and clinical notes detailing symptoms and treatment plans. Regular surveillance documentation is also necessary to support ongoing management.
