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
Gastric polyp
Polyp of stomach and other parts of the stomach
Benign neoplasm of stomach
Benign tumors, including polyps, located in the stomach
Other specified diseases of stomach
Includes other specified stomach conditions, some may involve polyps
Disease of stomach, unspecified
Unspecified stomach disorders where the specific diagnosis isn't known
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)?
When to use each related code
Description |
---|
Gastric polyp |
Fundic gland polyp |
Gastric adenoma |
Coding for gastric polyp lacks anatomical site specificity (e.g., antrum, fundus). Impacts quality reporting and reimbursement.
Documentation lacks polyp size, affecting accurate coding (e.g., K31.8 vs. specific size codes) and clinical care.
Missing or incomplete histology documentation impacts coding specificity for neoplastic vs. non-neoplastic polyps and relevant treatment.
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.