2025 ICD-10-CM code K30
Functional dyspepsia (indigestion).
Medical necessity for the evaluation and management of functional dyspepsia is established by the presence of chronic or recurrent symptoms that impact the patient's quality of life.The medical record must demonstrate that appropriate diagnostic workup has been performed to exclude other potential diagnoses.
Diagnosis and management of functional dyspepsia typically falls under the purview of primary care physicians, gastroenterologists, or internal medicine specialists.They are responsible for evaluating the patient's symptoms, ruling out other potential causes, and recommending appropriate treatment strategies.
In simple words: This code indicates recurrent indigestion or stomach discomfort without a clear physical cause like an ulcer.
This code represents a diagnosis of functional dyspepsia, commonly known as indigestion. It is characterized by recurrent or persistent pain or discomfort centered in the upper abdomen, not caused by an ulcer or other identifiable disease.
Example 1: A 35-year-old patient presents with recurring upper abdominal pain, bloating, and early satiety. After diagnostic testing rules out ulcers, GERD, and other organic causes, the physician diagnoses functional dyspepsia (K30)., A patient with a history of anxiety experiences worsening indigestion symptoms during periods of stress.The physician documents functional dyspepsia (K30), recognizing the interplay between psychological factors and digestive function., A patient reports chronic postprandial discomfort and nausea. Endoscopy and other investigations reveal no structural abnormalities. The diagnosis of functional dyspepsia (K30) is made, and dietary modifications are recommended.
Documentation should include a detailed description of the patient's symptoms (e.g., pain location, character, duration, relation to meals), relevant medical history, and results of any diagnostic tests performed to rule out other conditions.It is important to document the absence of organic disease to support the diagnosis of functional dyspepsia.
** Excludes1: dyspepsia NOS (R10.13), heartburn (R12), nervous dyspepsia (F45.8), neurotic dyspepsia (F45.8), psychogenic dyspepsia (F45.8).Excludes2: hiatus hernia (K44.-).
- Specialties:Gastroenterology, Internal Medicine, Family Medicine
- Place of Service:Office, Outpatient Hospital, Telehealth Provided in Patient’s Home, Telehealth Provided Other than in Patient’s Home