K52.81
K52.81: Eosinophilic gastritis or gastroenteritis
Billable / specific codeICD-10-CM
K52.81 is a billable, specific ICD-10-CM code for eosinophilic gastritis or gastroenteritis. It is valid for submission on a claim.
Check K52.81 with the rest of the claim: free scrubberExcludes2: not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
- eosinophilic esophagitis (K20.0)
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Eosinophilic enteritis
Other codes that can never be billed with K52.81
Their own Excludes1 notes name this code, so the conflict is not listed above.
- K29Gastritis and duodenitis
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
K52.81 is named in 12 Medicare coverage policies: 12 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A55937Billing and Coding: Diagnostic Colonoscopy
- A56389Billing and Coding: Upper Gastrointestinal Endoscopy and Visualization
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A56456Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
Alphabetic index entries that lead here
- Enteritis›eosinophilic
- Gastritis›eosinophilic
- Gastroenteritis›eosinophilic
- Enteritis›allergic›with›eosinophilic gastritis or gastroenteritis
- Gastroenteritis›allergic›with›eosinophilic gastritis or gastroenteritis
Code history
Unchanged in every release from FY2024 to FY2027.