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K31.7
ICD-10-CM
Gastric Polyp

Find comprehensive information on gastric polyp diagnosis, including clinical documentation, medical coding (ICD-10 codes K31.x), endoscopic findings, and histology reports. Learn about hyperplastic gastric polyps, fundic gland polyps, adenomatous polyps, and other polyp types. Explore resources for healthcare professionals regarding gastric polyp symptoms, surveillance, and management. This resource provides details on polyp size, location, morphology, and dysplasia for accurate clinical evaluation and appropriate medical coding.

Also known as

Stomach Polyp
Gastric Mucosal Polyp

Diagnosis Snapshot

Key Facts
  • Definition : Abnormal tissue growth projecting from the stomach lining.
  • Clinical Signs : Often asymptomatic. May cause bleeding, abdominal pain, or nausea.
  • Common Settings : Detected during endoscopy (e.g., upper GI) or imaging studies.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC K31.7 Coding
K31.7

Gastric polyp

Polyp of stomach and other parts of the stomach

D13.1

Benign neoplasm of stomach

Benign tumors, including polyps, located in the stomach

K31.8

Other specified diseases of stomach

Includes other specified stomach conditions, some may involve polyps

K31.9

Disease of stomach, unspecified

Unspecified stomach disorders where the specific diagnosis isn't known

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is the gastric polyp neoplastic?

  • Yes

    Is it adenomatous?

  • No

    Is it inflammatory (e.g., hyperplastic)?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Gastric polyp
Fundic gland polyp
Gastric adenoma

Documentation Best Practices

Documentation Checklist
  • Gastric polyp size, location, morphology
  • Number of polyps documented
  • Endoscopy findings: polyp appearance
  • Biopsy taken: yes/no, location
  • Histopathology results if available

Coding and Audit Risks

Common Risks
  • Unspecified Location

    Coding for gastric polyp lacks anatomical site specificity (e.g., antrum, fundus). Impacts quality reporting and reimbursement.

  • Size Unspecified

    Documentation lacks polyp size, affecting accurate coding (e.g., K31.8 vs. specific size codes) and clinical care.

  • Histology Missing

    Missing or incomplete histology documentation impacts coding specificity for neoplastic vs. non-neoplastic polyps and relevant treatment.

Mitigation Tips

Best Practices
  • Code accurately: Z12.81 for routine exam polyp, D13.1 for stomach polyp.
  • Document size, location, morphology. Use SNOMED CT for clarity.
  • Biopsy for histopathology is crucial for diagnosis confirmation.
  • Follow-up surveillance recommended. Adhere to clinical guidelines.
  • CDI: Query physician for polyp characteristics if documentation unclear.

Clinical Decision Support

Checklist
  • Review upper endoscopy report for polyp description (size, location, morphology)
  • Check pathology report for histological diagnosis
  • Document polyp characteristics for ICD-10-CM coding (K31.8)
  • Assess risk factors for gastric cancer (H. pylori, family history)
  • Schedule surveillance endoscopy based on polyp type and guidelines

Reimbursement and Quality Metrics

Impact Summary
  • Gastric Polyp reimbursement hinges on accurate coding (ICD-10 K31.x) and proper documentation for optimal payment.
  • Quality metrics: Gastric polyp surveillance impacts hospital quality reporting and adenoma detection rate (ADR).
  • Coding accuracy for polyp size, location, and histology (CPT 43239, 43250) affects reimbursement levels.
  • Timely endoscopic biopsies and pathology reporting influence both billing and cancer prevention metrics.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes for . Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code polyp location, size, morphology
  • Document polyp count accurately
  • Specify endoscopic findings
  • Distinguish hyperplastic vs. adenomatous
  • Consider dysplasia grading if applicable

Documentation Templates

Patient presents with (chief complaint related to gastric polyp, e.g., abdominal pain, dyspepsia, nausea, vomiting, gastrointestinal bleeding, or incidental finding during endoscopy).  Review of systems includes (positive and negative findings relevant to gastrointestinal health, including appetite changes, weight loss, bowel habits, and any history of anemia).  Past medical history includes (relevant comorbidities such as H. pylori infection, prior abdominal surgeries, familial adenomatous polyposis, or other gastrointestinal disorders).  Family history is significant for (any family history of gastric polyps, gastric cancer, or other relevant genetic conditions).  Medications include (list current medications).  Allergies are (list any allergies).  Physical examination reveals (relevant findings, e.g., abdominal tenderness, epigastric discomfort).  Upper endoscopy performed on (date) revealed (number) gastric polyp(s) located in the (location within the stomach, e.g., antrum, fundus, body).  The polyp(s) measured (size in millimeters) and were (description of morphology, e.g., sessile, pedunculated, hyperplastic, adenomatous).  (Biopsy results if available, including histopathology and grade of dysplasia, if applicable).  Impression: Gastric polyp(s).  Assessment includes evaluation for gastric cancer risk factors.  Plan includes (mention surveillance endoscopy intervals as per guidelines based on size, histology, and number of polyps, H. pylori testing if not already performed, and discussion of potential polypectomy versus ongoing surveillance based on risk stratification).  Patient education provided regarding the natural history of gastric polyps, potential complications, and importance of follow-up.  ICD-10 code K29.6 (Gastric polyp) assigned.  CPT code(s) for endoscopy and biopsy (e.g., 43239, 43235) billed.