Sherry Posted Mon 13th of March, 2017 10:36:48 AM
when the finial diagnosis states LA grade B esophagitis would you use K20.8 other esophagitis or K21.0 refulx esophagitis since it does indictate that it was induced by reflux
Sherry Posted Mon 13th of March, 2017 10:48:23 AM
also does not indiciate mucosal breaks
SuperCoder Answered Tue 14th of March, 2017 03:03:53 AM
The severity of reflux esophagitis is commonly classified into four grades according to the Los Angeles Classification:
Grade A: One or more mucosal breaks < 5 mm in maximal length
Grade B: One or more mucosal breaks > 5mm, but without continuity across mucosal folds
Grade C: Mucosal breaks continuous between > 2 mucosal folds, but involving less than 75% of the esophageal circumference.
Grade D: Mucosal breaks involving more than 75% of esophageal circumference.
If Dx is LA grade B esophagitis, then it comes under reflux esophagitis category. So, the appropriate ICD 10 code will be K21.0.