K31.84
Gastroparesis
Clinical Classification Guidelines
Inclusion Terms
- Gastroparalysis
Code First
- underlying disease, if known, such as:
- anorexia nervosa (F50.0-)
- diabetes mellitus (E08.43, E09.43, E10.43, E11.43, E13.43)
- scleroderma (M34.-)
Medical Intelligence & Overview
Gastroparesis, also known as gastrointestinal paralysis, is a condition where the stomach takes longer than normal to empty its contents. Instead of working properly to propel food into the small intestine, the stomach muscles are weakened or impaired, leading to delayed gastric emptying. This can cause a variety of digestive issues and impacts overall nutrition and quality of life. Recognized under ICD-10 code K31.84, gastroparesis can affect individuals of all ages but is more commonly diagnosed in adults, particularly those with underlying health conditions.
Causes & Symptoms
Clinical Causes: Diabetes mellitus, especially poorly controlled diabetes, which can cause nerve damage affecting stomach muscles Surgical complications involving the stomach or vagus nerve Viral infections that damage stomach nerves Medications, such as opioids and certain antidepressants, that may impair gastric motility Autoimmune disorders like scleroderma Neurological conditions, including Parkinson’s disease or multiple sclerosis Idiopathic cases where no specific cause is identified
Key Symptoms: Nausea and vomiting Early satiety (feeling full quickly when eating) Bloating and abdominal discomfort Loss of appetite Unintentional weight loss Gastroesophageal reflux Stomach rumbling and erratic blood sugar levels in diabetics
Diagnostic & Treatment
Diagnosis Path: Diagnosing gastroparesis involves a comprehensive evaluation that may include a combination of diagnostic tests such as:
Treatment Protocols: While there is no cure for gastroparesis, various approaches can help manage symptoms and improve quality of life:
Clinical Advice & FAQs
Billing Guidance
Is K31.84 a billable ICD-10 code?
Yes, K31.84 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report K31.84?
Clinical documentation must specify the nature of Gastroparesis and any associated comorbidities for accurate reporting.
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