ICD Code K22.70

ICD code K22.70 is Barrett's esophagus without dysplasia, meaning the lining of the esophagus has changed due to chronic acid exposure, but there are no precancerous cell changes present.

1. Chronic gastroesophageal reflux symptoms (e.g., heartburn, regurgitation)

2. Endoscopic evidence of columnar-lined esophagus above the gastroesophageal junction

3. Histological confirmation of specialized intestinal metaplasia in esophageal biopsies

4. Absence of dysplasia on histopathological examination

5. No evidence of esophageal malignancy or high-grade dysplasia

Relevant CPT codes that may be used to treat ICD code K22.70 include:

- 43235: Esophagogastroduodenoscopy (EGD), diagnostic, with or without collection of specimen(s) by brushing or washing

- 43239: EGD with biopsy, single or multiple

- 43249: EGD with balloon dilation (less than 30 mm diameter)

- 43251: EGD with removal of tumor(s), polyp(s), or other lesion(s) by snare technique

- 43236: EGD with directed submucosal injection(s)

- 88305: Level IV surgical pathology, gross and microscopic examination (for biopsy specimens)

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