Version 2024

2024 ICD-10-CM Diagnosis Code K20.81

Other esophagitis with bleeding

ICD-10-CM:: K20.81
Short Description:: Other esophagitis with bleeding
Is Billable?: Yes - Valid for Submission
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Code Classification

Diseases of the digestive system
(K00–K93)
- Diseases of esophagus, stomach and duodenum
  (K20-K31)
  - Esophagitis
    (K20)

K20.81 is a billable diagnosis code used to specify a medical diagnosis of other esophagitis with bleeding. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.

1. Clinical Information
2. Tabular List of Diseases and Injuries
3. Index to Diseases and Injuries References
4. Diagnostic Related Groups - MS-DRG Mapping
5. Replacement Code
6. Patient Education
7. Other Codes Used Similar Conditions
8. Code History

Clinical Information

Eosinophilic Esophagitis-. chronic esophagitis characterized by esophageal mucosal eosinophilia. it is diagnosed when an increase in eosinophils are present over the entire esophagus. the reflux symptoms fail to respond to proton pump inhibitors treatment, unlike in gastroesophageal reflux disease. the symptoms are associated with ige-mediated hypersensitivity to food or inhalant allergens.
Esophagitis-. inflammation, acute or chronic, of the esophagus caused by bacteria, chemicals, or trauma.
Esophagitis, Peptic-. inflammation of the esophagus that is caused by the reflux of gastric juice with contents of the stomach and duodenum.

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

- Esophagitis (acute) (alkaline) (chemical) (chronic) (infectional) (necrotic) (peptic) (postoperative) (without bleeding) - K20.90
- - specified NEC (without bleeding) - K20.80
  - - with bleeding - K20.81

Diagnostic Related Groups - MS-DRG Mapping

Diagnostic Related Groups (DRGs) are a classification system used to group together diagnosis codes for the purpose of reimbursement and healthcare management. DRGs are used to standardize the way hospitals and other providers are paid for inpatient services. In this system patients are grouped together based on their principal diagnosis in areas referred to as Major Diagnostic Categories (MDC). Once a patient is assigned a particular diagnostic category, providers receive a predetermined payment rate for the services rendered. This reimbursement rate is often fixed and is meant to cover the cost of care for that patient. Reimbursement is also affected by the relative weight of a diagnostic related group based on the severity of a patient's illness and the associated cost of care during hospitalization.

Diagnostic related groups encourage healthcare providers to focus on quality and efficiency in patient care while managing costs effectively. The diagnosis code is present in the following groups for version MS-DRG V41.0 applicable from 10/01/2023 through 09/30/2024.

MS-DRG	MS-DRG Title	MCD	Relative Weight
368	MAJOR ESOPHAGEAL DISORDERS WITH MCC	06	1.652
369	MAJOR ESOPHAGEAL DISORDERS WITH CC	06	0.9883
370	MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC	06	0.7437

The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.

Replacement Code

K2081 replaces the following previously assigned ICD-10-CM code(s):

K20.8 - Other esophagitis

Code History

FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
FY 2021 - Code Added, effective from 10/1/2020 through 9/30/2021