ICD-10 Eosinophilic Esophagitis: A Comprehensive Guide

Introduction

Eosinophilic esophagitis (EoE) is a chronic inflammatory disease of the esophagus characterized by an eosinophilic infiltrate. It is a relatively rare condition, with an estimated prevalence of 0.005% to 0.02% in the general population. However, it is becoming more common, and is now the most common cause of chronic esophagitis in children and adolescents.

Symptoms

The most common symptoms of EoE are:

• Difficulty swallowing (dysphagia)
• Food impaction
• Chest pain
• Heartburn
• Nausea and vomiting
• Abdominal pain
• Wheezing
• Cough
• Failure to thrive (in children)

Diagnosis

EoE is diagnosed based on clinical symptoms and endoscopic findings. Endoscopy is a procedure in which a thin, flexible tube with a camera on the end is inserted into the esophagus. This allows the doctor to visualize the esophagus and look for signs of inflammation, such as:

• Esophageal rings
• Linear furrowing
• White plaques
• Strictures

A biopsy may also be performed to confirm the diagnosis. A biopsy involves removing a small sample of tissue from the esophagus and examining it under a microscope.

Treatment

The treatment of EoE typically involves a combination of dietary changes and medications. Dietary changes that may be helpful include:

• Eliminating trigger foods (such as milk, wheat, and eggs)
• Following an elemental diet (a diet that contains only essential nutrients)
• Avoiding foods that are difficult to swallow

Medications that may be used to treat EoE include:

• Proton pump inhibitors (PPIs)
• Histamine-2 receptor antagonists (H2RAs)
• Leukotriene inhibitors
• Topical steroids
• Biologics

Outlook

The prognosis for EoE is generally good. With treatment, most people with EoE are able to manage their symptoms and live a full and active life. However, some people with EoE may experience complications, such as:

• Esophageal strictures
• Esophageal perforation
• Esophageal cancer

Prevention

There is no known way to prevent EoE. However, early diagnosis and treatment can help to reduce the risk of complications.

ICD-10 Codes for Eosinophilic Esophagitis

The ICD-10 codes for eosinophilic esophagitis are:

• K20.0: Eosinophilic esophagitis, unspecified
• K20.1: Allergic eosinophilic esophagitis
• K20.2: Idiopathic eosinophilic esophagitis
• K20.3: Eosinophilic esophagitis with eosinophilic gastrointestinal disease
• K20.8: Other eosinophilic esophagitis
• K20.9: Eosinophilic esophagitis, unspecified

Tables

Table 1: Symptoms of EoE

Table 2: Endoscopic Findings in EoE

Table 3: Medications for EoE

Table 4: ICD-10 Codes for EoE

Conclusion

Eosinophilic esophagitis is a chronic inflammatory disease of the esophagus that is characterized by an eosinophilic infiltrate. It is a relatively rare condition, but it is becoming more common. The symptoms of