CPT and ICD-10 Codes to Report Celiac Disease
Diagnosis and treatment for celiac disease, a serious autoimmune disorder, can be reported in medical claims using specific medical codes.
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Diagnosis and treatment for celiac disease, a serious autoimmune disorder, can be reported in medical claims using specific medical codes. Also called as celiac sprue or gluten-sensitive enteropathy, celiac disease is a serious autoimmune disorder that can damage the small intestine. Left untreated, the condition can lead to serious issues such as malnutrition, bone weakening, nervous system problem, infertility and miscarriage.To report this autoimmune condition accurately on medical claims, physicians can rely on the services of medical billing companies. Symptoms of this disorder may includeabdominal pain, bloating and gas, chronic diarrhea or constipation, nausea and vomiting.Along with common blood tests like complete blood count (CBC), serum albumin test, liver function test, cholesterol test, and alkaline phosphatase level test, serologic tests may berecommended to diagnose the condition. These procedures can be reported using specific CPT codes.
CPT and ICD-10 Codes to Report Celiac Disease CPT • • •
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ICD-10 86255 – Under Qualitative or Semiquantitative Immunoassays 83516 – Immunoassay for analyte other than infectious agent antibody or infectious agent antigen 82784 – Gammaglobulin (immunoglobulin)
43235 Esophagogastroduodenoscopy, flexible, transoral; diagnostic includes brushing or washing when performed 91035 Esophagus, gastroesophageal reflux test, with mucosal attached telemetry pH electrode(s) placement, recording, analysis and interpretation
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K90 Intestinal malabsorption o K90.0 Celiac disease o K90.1 Tropical sprue o K90.2 Blind loop syndrome, not elsewhere classified o K90.3 Pancreatic steatorrhea o K90.4 Other malabsorption due to intolerance ▪ K90.41 Non-celiac gluten sensitivity ▪ K90.49 Malabsorption due to intolerance, not elsewhere classified o K90.8 Other intestinal malabsorption ▪ K90.81 Whipple’s disease ▪ K90.89 Other intestinal malabsorption o K90.9 Intestinal malabsorption, unspecified
If tests results indicate celiac disease, physicians may request endoscopy or biopsy to view the small intestine and assess the damage to the villi. Treatment options recommended may include making diet modifications, prescription of vitamin and mineral supplements and other medications (like steroids). Professional gastroenterology medical coding services can support the specialists treating this condition to ensure accurate and timely claims submission. www.outsourcestrategies.com
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