2025 ICD-10-CM code K20.0
Eosinophilic esophagitis.
Medical necessity for the evaluation and treatment of EoE is established by the presence of signs and symptoms consistent with the condition, such as dysphagia, food impaction, heartburn, and chest pain, impacting the patient's ability to eat and maintain adequate nutrition.Diagnostic procedures, like endoscopy with biopsy, are necessary to confirm the diagnosis and differentiate EoE from other esophageal disorders.Treatment is medically necessary to alleviate symptoms, improve esophageal function, prevent complications such as strictures, and improve the patient's quality of life.
Diagnosis and management of EoE typically involves a gastroenterologist and/or allergist. Responsibilities include obtaining a detailed medical history, performing an upper endoscopy with biopsy, allergy testing, and developing a treatment plan that may include dietary modifications, medications (such as corticosteroids and proton pump inhibitors), and endoscopic dilation if strictures are present.
In simple words: Eosinophilic esophagitis (EoE) is a chronic disease where a type of white blood cell, called an eosinophil, builds up in the lining of the esophagus (the tube that connects your mouth to your stomach). This buildup causes inflammation and damage, making it difficult to swallow.
Eosinophilic esophagitis (EoE) is a chronic allergic inflammatory disease of the esophagus characterized by eosinophilic infiltration of the esophageal mucosa.Symptoms include difficulty swallowing (dysphagia), food impaction, heartburn, chest pain, and vomiting.
Example 1: A 35-year-old male presents with dysphagia, primarily to solid foods.He has a history of asthma and seasonal allergies. An upper endoscopy reveals esophageal rings and furrows. Biopsy confirms eosinophilic esophagitis., An infant presents with feeding difficulties, vomiting, and poor weight gain.An upper endoscopy and biopsy confirm eosinophilic esophagitis., A 25-year-old female experiences heartburn and chest pain unresponsive to antacids.She has a history of eczema.An upper endoscopy and biopsy reveal eosinophilic esophagitis.
Documentation should include details of the patient's symptoms, including the nature and frequency of dysphagia, food impaction, heartburn, chest pain, vomiting, or other related symptoms. Findings from the upper endoscopy, including visual appearance of the esophagus and biopsy results, should be documented. Allergy testing results and any identified food or environmental triggers should also be noted.The treatment plan, including dietary modifications and medications, should be clearly documented.
- Payment Status: Active
- Specialties:Gastroenterology, Allergy/Immunology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office