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Outpatient Facility Coding Alert

ICD-10:
Diagnosis Coding Gets More Specific for Barrett's Esophagus in 2014

  Tip: Dig into dysplastic changes to narrow your code choices. Barrett’s esophagus is a common condition for patients with GERD (gastroesophageal reflux disease). If your outpatient center includes endoscopy services, equip yourself with specifics on how to report this condition -- such as looking for dysplastic changes -- when ICD-10 codes come into play. Barrett’s incidence and risks: “There is presently a debate about the association of GERD and the risk of subsequently developing Barrett’s and then the risk of Barrett’s developing into a cancer at the gastroesophageal junction,” says Michael Weinstein, MD, a gastroenterologist at Capital Digestive Care in Washington, D.C., and former representative of the AMA’s CPT® Advisory Panel. Your physician might prefer to undertake screening of chronic heartburn patients to check if they have developed changes seen in Barrett’s esophagus. Under ICD-9, Barrett’s esophagus is classified under the diseases of the esophagus, stomach and duodenum (530-539). [...]


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