Name of the Condition

• Other esophagitis without bleeding (ICD Code: K20.80)
• Including non-specific esophagitis, excluding reflux esophagitis

Summary

Esophagitis refers to the inflammation of the esophagus, the tube that carries food from the throat to the stomach. In this condition, the inflammation occurs without any associated bleeding. It can result from a variety of causes and may lead to discomfort or difficulty swallowing.

Causes

• Acid reflux or gastroesophageal reflux disease (GERD)
• Infections, such as those caused by fungi or viruses
• Medications that irritate the esophagus, including certain painkillers or antibiotics
• Allergic reactions, such as eosinophilic esophagitis
• Chemical injury from ingesting harsh substances

Risk Factors

• Chronic acid reflux
• Smoking and excessive alcohol consumption
• Obesity
• A history of esophageal disorders
• Certain medications that can irritate the esophagus

Symptoms

• Difficulty or pain when swallowing (dysphagia)
• Heartburn or acid regurgitation
• Chest pain, especially after eating
• Sore throat or hoarseness
• Nausea or vomiting

Diagnosis

• Physical examination and medical history review
• Endoscopy to visualize the esophagus
• Biopsy to examine tissue samples
• Barium swallow radiograph
• pH monitoring for acid reflux

Treatment Options

• Medications such as proton pump inhibitors or antacids to reduce stomach acid
• H2 receptor antagonists for alleviating acid reflux symptoms
• Dietary changes to avoid trigger foods
• Surgery in severe cases that don’t respond to other treatments

Prognosis and Follow-Up

With appropriate treatment, the outlook for esophagitis without bleeding is generally positive. Regular monitoring and adherence to prescribed therapies can prevent recurrence and complications.

Complications

• Strictures or narrowing of the esophagus
• Barrett's esophagus, a potential precursor to cancer
• Painful ulcers in the esophagus

Lifestyle & Prevention

• Avoid foods and drinks that trigger acid reflux
• Maintain a healthy weight
• Quit smoking and limit alcohol consumption
• Eat smaller meals and avoid lying down right after eating

When to Seek Professional Help

• Persistent or severe chest pain
• Difficulty swallowing or unintended weight loss
• Symptoms that do not improve with over-the-counter medications

Additional Resources

• American Gastroenterological Association (www.gastro.org)
• Esophageal Cancer Awareness Association (www.ecaware.org)
• Mayo Clinic on Esophagitis (www.mayoclinic.org)

Tips for Medical Coders

• Ensure the absence of bleeding is clearly documented.
• Verify specificity—e.g., distinguish from reflux esophagitis (K21.0).
• Avoid using K20.90 unless detailed information is unavailable.