Awareness : Did You Know?

Did You Know? Weekly Educational Series #12

For the week of May 1, 2017-Medicine Gastrointestinal

Diagnosis Codes on Related to GERD

  • K21.0 Gastro-esophageal reflux disease with esophagitis
  • K21.9 Gastro-esophageal reflux disease without esophagitis
  • K22.70 Barrett’s esophagus without dysplasia
  • K22.710 Barrett’s esophagus with low grade dysplasia
  • K22.711 Barrett’s esophagus with high grade dysplasia
  • K22.719 Barrett’s esophagus with dysplasia, unspecified
  • K44.0 Diaphragmatic hernia (includes esophageal hiatus hernia) with obstruction, without gangrene
  • K44.1 Diaphragmatic hernia (includes esophageal hiatus hernia) with gangrene
  • K44.9 Diaphragmatic hernia (includes esophageal hiatus hernia) without obstruction or gangrene

Example billing for CPT® 43280

Coding Scenario: A patient undergoes a diagnostic laparoscopy and the surgeon identified the GERD condition known as Barrett’s esophagus. After a month on medication with no improvement in the patient’s symptoms, the patient receives a laparoscopic Nissen procedure to control the reflux.

This is how it’s billed:

43280 (Laparoscopy, surgical, esophagogastric fundoplasty (e.g., Nissen, Toupet procedures) for the Nissen procedure.  K21.0 Gastro-esophageal reflux disease with esophagitis.