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Heidi 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
Heidi 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.

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