Gastro-oesophageal Reflux Disease J002
Current RMA Instruments
| Reasonable Hypothesis SOP | 61 of 2021 |
| Balance of Probabilities SOP | 62 of 2021 |
Changes from previous instruments
ICD Coding
- ICD-9-CM: 530.11,530.2,530.81
- ICD-10-AM: K21
Brief description
This SOP covers gastric reflux of sufficient severity to either cause chronic inflammation of the oesophagus (with histological evidence), or to result in symptoms sufficient to warrant regular medical treatment. Minor symptomatic reflux without oesophagitis is very common, but is not a disease.
Confirming the diagnosis
The diagnosis is based on the clincial presentation (significantly symptomatic reflux) and is preferrably confirmed by upper gastrointestinal endoscopy, with histology. Symptoms may involve the oesophagus (particularly heart burn) but may also include manifestations in the larynx and pharynx (regurgitation, cough, hoarseness).
The relevant medical specialist is a gastroenterologist.
Additional diagnoses covered by SOP
- Reflux oesophagitis
- Reflux with oseophageal ulceration
Related conditions that may be covered by SOP (further information required)
- Heartburn
- Waterbrash
- Oesophagitis unspecified
Conditions not covered by SOP
- Barrett’s oesophagus*
- Oesophagitis due to radiation, infectious agents or corrosive agents#
- Oesophageal varices#
* Another SOP applies
# non-SOP condition
Clinical onset
An accurate clinical onset may be difficult to establish. Once the diagnosis has been confirmed and other causes of heartburn-type symptoms have been excluded, clinical onset can be backdated to when reflux symptoms of sufficient severity to warrant treatment first developed.
Clinical worsening
Permanent clinical worsening could be manifest by a persisting increase in the level of symptoms or the development of oesophageal ulcer, bleeding or stricture. Barrett's oesophagus is a separate condition, not a worsening of GORD.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/sops-grouped-icd-body-system/e-g/gastro-oesophageal-reflux-disease-j002-k21
Factors in CCPS as at 18 JULY 2005
Current RMA Instruments
| Reasonable Hypothesis SOP | 61 of 2021 |
| Balance of Probabilities SOP | 62 of 2021 |
Changes from previous instruments
ICD Coding
- ICD-9-CM: 530.11,530.2,530.81
- ICD-10-AM: K21
Brief description
This SOP covers gastric reflux of sufficient severity to either cause chronic inflammation of the oesophagus (with histological evidence), or to result in symptoms sufficient to warrant regular medical treatment. Minor symptomatic reflux without oesophagitis is very common, but is not a disease.
Confirming the diagnosis
The diagnosis is based on the clincial presentation (significantly symptomatic reflux) and is preferrably confirmed by upper gastrointestinal endoscopy, with histology. Symptoms may involve the oesophagus (particularly heart burn) but may also include manifestations in the larynx and pharynx (regurgitation, cough, hoarseness).
The relevant medical specialist is a gastroenterologist.
Additional diagnoses covered by SOP
- Reflux oesophagitis
- Reflux with oseophageal ulceration
Related conditions that may be covered by SOP (further information required)
- Heartburn
- Waterbrash
- Oesophagitis unspecified
Conditions not covered by SOP
- Barrett’s oesophagus*
- Oesophagitis due to radiation, infectious agents or corrosive agents#
- Oesophageal varices#
* Another SOP applies
# non-SOP condition
Clinical onset
An accurate clinical onset may be difficult to establish. Once the diagnosis has been confirmed and other causes of heartburn-type symptoms have been excluded, clinical onset can be backdated to when reflux symptoms of sufficient severity to warrant treatment first developed.
Clinical worsening
Permanent clinical worsening could be manifest by a persisting increase in the level of symptoms or the development of oesophageal ulcer, bleeding or stricture. Barrett's oesophagus is a separate condition, not a worsening of GORD.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/alphabetic-index-statements-principles/e-g/gastro-oesophageal-reflux-disease-j002/factors-ccps-18-july-2005
A partial or total gastrectomy
Current RMA Instruments
| Reasonable Hypothesis SOP | 61 of 2021 |
| Balance of Probabilities SOP | 62 of 2021 |
Changes from previous instruments
ICD Coding
- ICD-9-CM: 530.11,530.2,530.81
- ICD-10-AM: K21
Brief description
This SOP covers gastric reflux of sufficient severity to either cause chronic inflammation of the oesophagus (with histological evidence), or to result in symptoms sufficient to warrant regular medical treatment. Minor symptomatic reflux without oesophagitis is very common, but is not a disease.
Confirming the diagnosis
The diagnosis is based on the clincial presentation (significantly symptomatic reflux) and is preferrably confirmed by upper gastrointestinal endoscopy, with histology. Symptoms may involve the oesophagus (particularly heart burn) but may also include manifestations in the larynx and pharynx (regurgitation, cough, hoarseness).
The relevant medical specialist is a gastroenterologist.
Additional diagnoses covered by SOP
- Reflux oesophagitis
- Reflux with oseophageal ulceration
Related conditions that may be covered by SOP (further information required)
- Heartburn
- Waterbrash
- Oesophagitis unspecified
Conditions not covered by SOP
- Barrett’s oesophagus*
- Oesophagitis due to radiation, infectious agents or corrosive agents#
- Oesophageal varices#
* Another SOP applies
# non-SOP condition
Clinical onset
An accurate clinical onset may be difficult to establish. Once the diagnosis has been confirmed and other causes of heartburn-type symptoms have been excluded, clinical onset can be backdated to when reflux symptoms of sufficient severity to warrant treatment first developed.
Clinical worsening
Permanent clinical worsening could be manifest by a persisting increase in the level of symptoms or the development of oesophageal ulcer, bleeding or stricture. Barrett's oesophagus is a separate condition, not a worsening of GORD.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/e-g/gastro-oesophageal-reflux-disease-j002-k21/rulebase-gastro-oesophageal-reflux-disease/partial-or-total-gastrectomy
A surgical procedure to the region of the oesophageal hiatus of the diaphragm
Current RMA Instruments
| Reasonable Hypothesis SOP | 61 of 2021 |
| Balance of Probabilities SOP | 62 of 2021 |
Changes from previous instruments
ICD Coding
- ICD-9-CM: 530.11,530.2,530.81
- ICD-10-AM: K21
Brief description
This SOP covers gastric reflux of sufficient severity to either cause chronic inflammation of the oesophagus (with histological evidence), or to result in symptoms sufficient to warrant regular medical treatment. Minor symptomatic reflux without oesophagitis is very common, but is not a disease.
Confirming the diagnosis
The diagnosis is based on the clincial presentation (significantly symptomatic reflux) and is preferrably confirmed by upper gastrointestinal endoscopy, with histology. Symptoms may involve the oesophagus (particularly heart burn) but may also include manifestations in the larynx and pharynx (regurgitation, cough, hoarseness).
The relevant medical specialist is a gastroenterologist.
Additional diagnoses covered by SOP
- Reflux oesophagitis
- Reflux with oseophageal ulceration
Related conditions that may be covered by SOP (further information required)
- Heartburn
- Waterbrash
- Oesophagitis unspecified
Conditions not covered by SOP
- Barrett’s oesophagus*
- Oesophagitis due to radiation, infectious agents or corrosive agents#
- Oesophageal varices#
* Another SOP applies
# non-SOP condition
Clinical onset
An accurate clinical onset may be difficult to establish. Once the diagnosis has been confirmed and other causes of heartburn-type symptoms have been excluded, clinical onset can be backdated to when reflux symptoms of sufficient severity to warrant treatment first developed.
Clinical worsening
Permanent clinical worsening could be manifest by a persisting increase in the level of symptoms or the development of oesophageal ulcer, bleeding or stricture. Barrett's oesophagus is a separate condition, not a worsening of GORD.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/alphabetic-index-statements-principles/e-g/gastro-oesophageal-reflux-disease-j002/factors-ccps-18-july-2005/surgical-procedure-region-oesophageal-hiatus-diaphragm
Alcohol consumption
Current RMA Instruments
| Reasonable Hypothesis SOP | 61 of 2021 |
| Balance of Probabilities SOP | 62 of 2021 |
Changes from previous instruments
ICD Coding
- ICD-9-CM: 530.11,530.2,530.81
- ICD-10-AM: K21
Brief description
This SOP covers gastric reflux of sufficient severity to either cause chronic inflammation of the oesophagus (with histological evidence), or to result in symptoms sufficient to warrant regular medical treatment. Minor symptomatic reflux without oesophagitis is very common, but is not a disease.
Confirming the diagnosis
The diagnosis is based on the clincial presentation (significantly symptomatic reflux) and is preferrably confirmed by upper gastrointestinal endoscopy, with histology. Symptoms may involve the oesophagus (particularly heart burn) but may also include manifestations in the larynx and pharynx (regurgitation, cough, hoarseness).
The relevant medical specialist is a gastroenterologist.
Additional diagnoses covered by SOP
- Reflux oesophagitis
- Reflux with oseophageal ulceration
Related conditions that may be covered by SOP (further information required)
- Heartburn
- Waterbrash
- Oesophagitis unspecified
Conditions not covered by SOP
- Barrett’s oesophagus*
- Oesophagitis due to radiation, infectious agents or corrosive agents#
- Oesophageal varices#
* Another SOP applies
# non-SOP condition
Clinical onset
An accurate clinical onset may be difficult to establish. Once the diagnosis has been confirmed and other causes of heartburn-type symptoms have been excluded, clinical onset can be backdated to when reflux symptoms of sufficient severity to warrant treatment first developed.
Clinical worsening
Permanent clinical worsening could be manifest by a persisting increase in the level of symptoms or the development of oesophageal ulcer, bleeding or stricture. Barrett's oesophagus is a separate condition, not a worsening of GORD.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/alphabetic-index-statements-principles/e-g/gastro-oesophageal-reflux-disease-j002/factors-ccps-18-july-2005/alcohol-consumption
Being obese
Current RMA Instruments
| Reasonable Hypothesis SOP | 61 of 2021 |
| Balance of Probabilities SOP | 62 of 2021 |
Changes from previous instruments
ICD Coding
- ICD-9-CM: 530.11,530.2,530.81
- ICD-10-AM: K21
Brief description
This SOP covers gastric reflux of sufficient severity to either cause chronic inflammation of the oesophagus (with histological evidence), or to result in symptoms sufficient to warrant regular medical treatment. Minor symptomatic reflux without oesophagitis is very common, but is not a disease.
Confirming the diagnosis
The diagnosis is based on the clincial presentation (significantly symptomatic reflux) and is preferrably confirmed by upper gastrointestinal endoscopy, with histology. Symptoms may involve the oesophagus (particularly heart burn) but may also include manifestations in the larynx and pharynx (regurgitation, cough, hoarseness).
The relevant medical specialist is a gastroenterologist.
Additional diagnoses covered by SOP
- Reflux oesophagitis
- Reflux with oseophageal ulceration
Related conditions that may be covered by SOP (further information required)
- Heartburn
- Waterbrash
- Oesophagitis unspecified
Conditions not covered by SOP
- Barrett’s oesophagus*
- Oesophagitis due to radiation, infectious agents or corrosive agents#
- Oesophageal varices#
* Another SOP applies
# non-SOP condition
Clinical onset
An accurate clinical onset may be difficult to establish. Once the diagnosis has been confirmed and other causes of heartburn-type symptoms have been excluded, clinical onset can be backdated to when reflux symptoms of sufficient severity to warrant treatment first developed.
Clinical worsening
Permanent clinical worsening could be manifest by a persisting increase in the level of symptoms or the development of oesophageal ulcer, bleeding or stricture. Barrett's oesophagus is a separate condition, not a worsening of GORD.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/alphabetic-index-statements-principles/e-g/gastro-oesophageal-reflux-disease-j002/factors-ccps-18-july-2005/being-obese
Eradication of Helicobacter pylori
Current RMA Instruments
| Reasonable Hypothesis SOP | 61 of 2021 |
| Balance of Probabilities SOP | 62 of 2021 |
Changes from previous instruments
ICD Coding
- ICD-9-CM: 530.11,530.2,530.81
- ICD-10-AM: K21
Brief description
This SOP covers gastric reflux of sufficient severity to either cause chronic inflammation of the oesophagus (with histological evidence), or to result in symptoms sufficient to warrant regular medical treatment. Minor symptomatic reflux without oesophagitis is very common, but is not a disease.
Confirming the diagnosis
The diagnosis is based on the clincial presentation (significantly symptomatic reflux) and is preferrably confirmed by upper gastrointestinal endoscopy, with histology. Symptoms may involve the oesophagus (particularly heart burn) but may also include manifestations in the larynx and pharynx (regurgitation, cough, hoarseness).
The relevant medical specialist is a gastroenterologist.
Additional diagnoses covered by SOP
- Reflux oesophagitis
- Reflux with oseophageal ulceration
Related conditions that may be covered by SOP (further information required)
- Heartburn
- Waterbrash
- Oesophagitis unspecified
Conditions not covered by SOP
- Barrett’s oesophagus*
- Oesophagitis due to radiation, infectious agents or corrosive agents#
- Oesophageal varices#
* Another SOP applies
# non-SOP condition
Clinical onset
An accurate clinical onset may be difficult to establish. Once the diagnosis has been confirmed and other causes of heartburn-type symptoms have been excluded, clinical onset can be backdated to when reflux symptoms of sufficient severity to warrant treatment first developed.
Clinical worsening
Permanent clinical worsening could be manifest by a persisting increase in the level of symptoms or the development of oesophageal ulcer, bleeding or stricture. Barrett's oesophagus is a separate condition, not a worsening of GORD.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/alphabetic-index-statements-principles/e-g/gastro-oesophageal-reflux-disease-j002/factors-ccps-18-july-2005/eradication-helicobacter-pylori
Hiatus hernia
Current RMA Instruments
| Reasonable Hypothesis SOP | 61 of 2021 |
| Balance of Probabilities SOP | 62 of 2021 |
Changes from previous instruments
ICD Coding
- ICD-9-CM: 530.11,530.2,530.81
- ICD-10-AM: K21
Brief description
This SOP covers gastric reflux of sufficient severity to either cause chronic inflammation of the oesophagus (with histological evidence), or to result in symptoms sufficient to warrant regular medical treatment. Minor symptomatic reflux without oesophagitis is very common, but is not a disease.
Confirming the diagnosis
The diagnosis is based on the clincial presentation (significantly symptomatic reflux) and is preferrably confirmed by upper gastrointestinal endoscopy, with histology. Symptoms may involve the oesophagus (particularly heart burn) but may also include manifestations in the larynx and pharynx (regurgitation, cough, hoarseness).
The relevant medical specialist is a gastroenterologist.
Additional diagnoses covered by SOP
- Reflux oesophagitis
- Reflux with oseophageal ulceration
Related conditions that may be covered by SOP (further information required)
- Heartburn
- Waterbrash
- Oesophagitis unspecified
Conditions not covered by SOP
- Barrett’s oesophagus*
- Oesophagitis due to radiation, infectious agents or corrosive agents#
- Oesophageal varices#
* Another SOP applies
# non-SOP condition
Clinical onset
An accurate clinical onset may be difficult to establish. Once the diagnosis has been confirmed and other causes of heartburn-type symptoms have been excluded, clinical onset can be backdated to when reflux symptoms of sufficient severity to warrant treatment first developed.
Clinical worsening
Permanent clinical worsening could be manifest by a persisting increase in the level of symptoms or the development of oesophageal ulcer, bleeding or stricture. Barrett's oesophagus is a separate condition, not a worsening of GORD.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/alphabetic-index-statements-principles/e-g/gastro-oesophageal-reflux-disease-j002/factors-ccps-18-july-2005/hiatus-hernia
No appropriate clinical management for gastro-oesophageal reflux disease
Current RMA Instruments
| Reasonable Hypothesis SOP | 61 of 2021 |
| Balance of Probabilities SOP | 62 of 2021 |
Changes from previous instruments
ICD Coding
- ICD-9-CM: 530.11,530.2,530.81
- ICD-10-AM: K21
Brief description
This SOP covers gastric reflux of sufficient severity to either cause chronic inflammation of the oesophagus (with histological evidence), or to result in symptoms sufficient to warrant regular medical treatment. Minor symptomatic reflux without oesophagitis is very common, but is not a disease.
Confirming the diagnosis
The diagnosis is based on the clincial presentation (significantly symptomatic reflux) and is preferrably confirmed by upper gastrointestinal endoscopy, with histology. Symptoms may involve the oesophagus (particularly heart burn) but may also include manifestations in the larynx and pharynx (regurgitation, cough, hoarseness).
The relevant medical specialist is a gastroenterologist.
Additional diagnoses covered by SOP
- Reflux oesophagitis
- Reflux with oseophageal ulceration
Related conditions that may be covered by SOP (further information required)
- Heartburn
- Waterbrash
- Oesophagitis unspecified
Conditions not covered by SOP
- Barrett’s oesophagus*
- Oesophagitis due to radiation, infectious agents or corrosive agents#
- Oesophageal varices#
* Another SOP applies
# non-SOP condition
Clinical onset
An accurate clinical onset may be difficult to establish. Once the diagnosis has been confirmed and other causes of heartburn-type symptoms have been excluded, clinical onset can be backdated to when reflux symptoms of sufficient severity to warrant treatment first developed.
Clinical worsening
Permanent clinical worsening could be manifest by a persisting increase in the level of symptoms or the development of oesophageal ulcer, bleeding or stricture. Barrett's oesophagus is a separate condition, not a worsening of GORD.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/alphabetic-index-statements-principles/e-g/gastro-oesophageal-reflux-disease-j002/factors-ccps-18-july-2005/no-appropriate-clinical-management-gastro-oesophageal-reflux-disease
Scleroderma
Current RMA Instruments
| Reasonable Hypothesis SOP | 61 of 2021 |
| Balance of Probabilities SOP | 62 of 2021 |
Changes from previous instruments
ICD Coding
- ICD-9-CM: 530.11,530.2,530.81
- ICD-10-AM: K21
Brief description
This SOP covers gastric reflux of sufficient severity to either cause chronic inflammation of the oesophagus (with histological evidence), or to result in symptoms sufficient to warrant regular medical treatment. Minor symptomatic reflux without oesophagitis is very common, but is not a disease.
Confirming the diagnosis
The diagnosis is based on the clincial presentation (significantly symptomatic reflux) and is preferrably confirmed by upper gastrointestinal endoscopy, with histology. Symptoms may involve the oesophagus (particularly heart burn) but may also include manifestations in the larynx and pharynx (regurgitation, cough, hoarseness).
The relevant medical specialist is a gastroenterologist.
Additional diagnoses covered by SOP
- Reflux oesophagitis
- Reflux with oseophageal ulceration
Related conditions that may be covered by SOP (further information required)
- Heartburn
- Waterbrash
- Oesophagitis unspecified
Conditions not covered by SOP
- Barrett’s oesophagus*
- Oesophagitis due to radiation, infectious agents or corrosive agents#
- Oesophageal varices#
* Another SOP applies
# non-SOP condition
Clinical onset
An accurate clinical onset may be difficult to establish. Once the diagnosis has been confirmed and other causes of heartburn-type symptoms have been excluded, clinical onset can be backdated to when reflux symptoms of sufficient severity to warrant treatment first developed.
Clinical worsening
Permanent clinical worsening could be manifest by a persisting increase in the level of symptoms or the development of oesophageal ulcer, bleeding or stricture. Barrett's oesophagus is a separate condition, not a worsening of GORD.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/alphabetic-index-statements-principles/e-g/gastro-oesophageal-reflux-disease-j002/factors-ccps-18-july-2005/scleroderma
Sjogren's syndrome
Current RMA Instruments
| Reasonable Hypothesis SOP | 61 of 2021 |
| Balance of Probabilities SOP | 62 of 2021 |
Changes from previous instruments
ICD Coding
- ICD-9-CM: 530.11,530.2,530.81
- ICD-10-AM: K21
Brief description
This SOP covers gastric reflux of sufficient severity to either cause chronic inflammation of the oesophagus (with histological evidence), or to result in symptoms sufficient to warrant regular medical treatment. Minor symptomatic reflux without oesophagitis is very common, but is not a disease.
Confirming the diagnosis
The diagnosis is based on the clincial presentation (significantly symptomatic reflux) and is preferrably confirmed by upper gastrointestinal endoscopy, with histology. Symptoms may involve the oesophagus (particularly heart burn) but may also include manifestations in the larynx and pharynx (regurgitation, cough, hoarseness).
The relevant medical specialist is a gastroenterologist.
Additional diagnoses covered by SOP
- Reflux oesophagitis
- Reflux with oseophageal ulceration
Related conditions that may be covered by SOP (further information required)
- Heartburn
- Waterbrash
- Oesophagitis unspecified
Conditions not covered by SOP
- Barrett’s oesophagus*
- Oesophagitis due to radiation, infectious agents or corrosive agents#
- Oesophageal varices#
* Another SOP applies
# non-SOP condition
Clinical onset
An accurate clinical onset may be difficult to establish. Once the diagnosis has been confirmed and other causes of heartburn-type symptoms have been excluded, clinical onset can be backdated to when reflux symptoms of sufficient severity to warrant treatment first developed.
Clinical worsening
Permanent clinical worsening could be manifest by a persisting increase in the level of symptoms or the development of oesophageal ulcer, bleeding or stricture. Barrett's oesophagus is a separate condition, not a worsening of GORD.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/alphabetic-index-statements-principles/e-g/gastro-oesophageal-reflux-disease-j002/factors-ccps-18-july-2005/sjogrens-syndrome
Smoking cigarettes or other tobacco products
Current RMA Instruments
| Reasonable Hypothesis SOP | 61 of 2021 |
| Balance of Probabilities SOP | 62 of 2021 |
Changes from previous instruments
ICD Coding
- ICD-9-CM: 530.11,530.2,530.81
- ICD-10-AM: K21
Brief description
This SOP covers gastric reflux of sufficient severity to either cause chronic inflammation of the oesophagus (with histological evidence), or to result in symptoms sufficient to warrant regular medical treatment. Minor symptomatic reflux without oesophagitis is very common, but is not a disease.
Confirming the diagnosis
The diagnosis is based on the clincial presentation (significantly symptomatic reflux) and is preferrably confirmed by upper gastrointestinal endoscopy, with histology. Symptoms may involve the oesophagus (particularly heart burn) but may also include manifestations in the larynx and pharynx (regurgitation, cough, hoarseness).
The relevant medical specialist is a gastroenterologist.
Additional diagnoses covered by SOP
- Reflux oesophagitis
- Reflux with oseophageal ulceration
Related conditions that may be covered by SOP (further information required)
- Heartburn
- Waterbrash
- Oesophagitis unspecified
Conditions not covered by SOP
- Barrett’s oesophagus*
- Oesophagitis due to radiation, infectious agents or corrosive agents#
- Oesophageal varices#
* Another SOP applies
# non-SOP condition
Clinical onset
An accurate clinical onset may be difficult to establish. Once the diagnosis has been confirmed and other causes of heartburn-type symptoms have been excluded, clinical onset can be backdated to when reflux symptoms of sufficient severity to warrant treatment first developed.
Clinical worsening
Permanent clinical worsening could be manifest by a persisting increase in the level of symptoms or the development of oesophageal ulcer, bleeding or stricture. Barrett's oesophagus is a separate condition, not a worsening of GORD.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/alphabetic-index-statements-principles/e-g/gastro-oesophageal-reflux-disease-j002/factors-ccps-18-july-2005/smoking-cigarettes-or-other-tobacco-products
Treatment with a drug reported to have caused acute erosive oesophagitis
Current RMA Instruments
| Reasonable Hypothesis SOP | 61 of 2021 |
| Balance of Probabilities SOP | 62 of 2021 |
Changes from previous instruments
ICD Coding
- ICD-9-CM: 530.11,530.2,530.81
- ICD-10-AM: K21
Brief description
This SOP covers gastric reflux of sufficient severity to either cause chronic inflammation of the oesophagus (with histological evidence), or to result in symptoms sufficient to warrant regular medical treatment. Minor symptomatic reflux without oesophagitis is very common, but is not a disease.
Confirming the diagnosis
The diagnosis is based on the clincial presentation (significantly symptomatic reflux) and is preferrably confirmed by upper gastrointestinal endoscopy, with histology. Symptoms may involve the oesophagus (particularly heart burn) but may also include manifestations in the larynx and pharynx (regurgitation, cough, hoarseness).
The relevant medical specialist is a gastroenterologist.
Additional diagnoses covered by SOP
- Reflux oesophagitis
- Reflux with oseophageal ulceration
Related conditions that may be covered by SOP (further information required)
- Heartburn
- Waterbrash
- Oesophagitis unspecified
Conditions not covered by SOP
- Barrett’s oesophagus*
- Oesophagitis due to radiation, infectious agents or corrosive agents#
- Oesophageal varices#
* Another SOP applies
# non-SOP condition
Clinical onset
An accurate clinical onset may be difficult to establish. Once the diagnosis has been confirmed and other causes of heartburn-type symptoms have been excluded, clinical onset can be backdated to when reflux symptoms of sufficient severity to warrant treatment first developed.
Clinical worsening
Permanent clinical worsening could be manifest by a persisting increase in the level of symptoms or the development of oesophageal ulcer, bleeding or stricture. Barrett's oesophagus is a separate condition, not a worsening of GORD.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/alphabetic-index-statements-principles/e-g/gastro-oesophageal-reflux-disease-j002/factors-ccps-18-july-2005/treatment-drug-reported-have-caused-acute-erosive-oesophagitis
Treatment with a nonsteroidal anti-inflammatory drug
Current RMA Instruments
| Reasonable Hypothesis SOP | 61 of 2021 |
| Balance of Probabilities SOP | 62 of 2021 |
Changes from previous instruments
ICD Coding
- ICD-9-CM: 530.11,530.2,530.81
- ICD-10-AM: K21
Brief description
This SOP covers gastric reflux of sufficient severity to either cause chronic inflammation of the oesophagus (with histological evidence), or to result in symptoms sufficient to warrant regular medical treatment. Minor symptomatic reflux without oesophagitis is very common, but is not a disease.
Confirming the diagnosis
The diagnosis is based on the clincial presentation (significantly symptomatic reflux) and is preferrably confirmed by upper gastrointestinal endoscopy, with histology. Symptoms may involve the oesophagus (particularly heart burn) but may also include manifestations in the larynx and pharynx (regurgitation, cough, hoarseness).
The relevant medical specialist is a gastroenterologist.
Additional diagnoses covered by SOP
- Reflux oesophagitis
- Reflux with oseophageal ulceration
Related conditions that may be covered by SOP (further information required)
- Heartburn
- Waterbrash
- Oesophagitis unspecified
Conditions not covered by SOP
- Barrett’s oesophagus*
- Oesophagitis due to radiation, infectious agents or corrosive agents#
- Oesophageal varices#
* Another SOP applies
# non-SOP condition
Clinical onset
An accurate clinical onset may be difficult to establish. Once the diagnosis has been confirmed and other causes of heartburn-type symptoms have been excluded, clinical onset can be backdated to when reflux symptoms of sufficient severity to warrant treatment first developed.
Clinical worsening
Permanent clinical worsening could be manifest by a persisting increase in the level of symptoms or the development of oesophageal ulcer, bleeding or stricture. Barrett's oesophagus is a separate condition, not a worsening of GORD.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/alphabetic-index-statements-principles/e-g/gastro-oesophageal-reflux-disease-j002/factors-ccps-18-july-2005/treatment-nonsteroidal-anti-inflammatory-drug
Treatment with a smooth muscle relaxant drug
Current RMA Instruments
| Reasonable Hypothesis SOP | 61 of 2021 |
| Balance of Probabilities SOP | 62 of 2021 |
Changes from previous instruments
ICD Coding
- ICD-9-CM: 530.11,530.2,530.81
- ICD-10-AM: K21
Brief description
This SOP covers gastric reflux of sufficient severity to either cause chronic inflammation of the oesophagus (with histological evidence), or to result in symptoms sufficient to warrant regular medical treatment. Minor symptomatic reflux without oesophagitis is very common, but is not a disease.
Confirming the diagnosis
The diagnosis is based on the clincial presentation (significantly symptomatic reflux) and is preferrably confirmed by upper gastrointestinal endoscopy, with histology. Symptoms may involve the oesophagus (particularly heart burn) but may also include manifestations in the larynx and pharynx (regurgitation, cough, hoarseness).
The relevant medical specialist is a gastroenterologist.
Additional diagnoses covered by SOP
- Reflux oesophagitis
- Reflux with oseophageal ulceration
Related conditions that may be covered by SOP (further information required)
- Heartburn
- Waterbrash
- Oesophagitis unspecified
Conditions not covered by SOP
- Barrett’s oesophagus*
- Oesophagitis due to radiation, infectious agents or corrosive agents#
- Oesophageal varices#
* Another SOP applies
# non-SOP condition
Clinical onset
An accurate clinical onset may be difficult to establish. Once the diagnosis has been confirmed and other causes of heartburn-type symptoms have been excluded, clinical onset can be backdated to when reflux symptoms of sufficient severity to warrant treatment first developed.
Clinical worsening
Permanent clinical worsening could be manifest by a persisting increase in the level of symptoms or the development of oesophageal ulcer, bleeding or stricture. Barrett's oesophagus is a separate condition, not a worsening of GORD.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/alphabetic-index-statements-principles/e-g/gastro-oesophageal-reflux-disease-j002/factors-ccps-18-july-2005/treatment-smooth-muscle-relaxant-drug
Treatment with doxycycline
Current RMA Instruments
| Reasonable Hypothesis SOP | 61 of 2021 |
| Balance of Probabilities SOP | 62 of 2021 |
Changes from previous instruments
ICD Coding
- ICD-9-CM: 530.11,530.2,530.81
- ICD-10-AM: K21
Brief description
This SOP covers gastric reflux of sufficient severity to either cause chronic inflammation of the oesophagus (with histological evidence), or to result in symptoms sufficient to warrant regular medical treatment. Minor symptomatic reflux without oesophagitis is very common, but is not a disease.
Confirming the diagnosis
The diagnosis is based on the clincial presentation (significantly symptomatic reflux) and is preferrably confirmed by upper gastrointestinal endoscopy, with histology. Symptoms may involve the oesophagus (particularly heart burn) but may also include manifestations in the larynx and pharynx (regurgitation, cough, hoarseness).
The relevant medical specialist is a gastroenterologist.
Additional diagnoses covered by SOP
- Reflux oesophagitis
- Reflux with oseophageal ulceration
Related conditions that may be covered by SOP (further information required)
- Heartburn
- Waterbrash
- Oesophagitis unspecified
Conditions not covered by SOP
- Barrett’s oesophagus*
- Oesophagitis due to radiation, infectious agents or corrosive agents#
- Oesophageal varices#
* Another SOP applies
# non-SOP condition
Clinical onset
An accurate clinical onset may be difficult to establish. Once the diagnosis has been confirmed and other causes of heartburn-type symptoms have been excluded, clinical onset can be backdated to when reflux symptoms of sufficient severity to warrant treatment first developed.
Clinical worsening
Permanent clinical worsening could be manifest by a persisting increase in the level of symptoms or the development of oesophageal ulcer, bleeding or stricture. Barrett's oesophagus is a separate condition, not a worsening of GORD.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/alphabetic-index-statements-principles/e-g/gastro-oesophageal-reflux-disease-j002/factors-ccps-18-july-2005/treatment-doxycycline
Zollinger-Ellison syndrome
Current RMA Instruments
| Reasonable Hypothesis SOP | 61 of 2021 |
| Balance of Probabilities SOP | 62 of 2021 |
Changes from previous instruments
ICD Coding
- ICD-9-CM: 530.11,530.2,530.81
- ICD-10-AM: K21
Brief description
This SOP covers gastric reflux of sufficient severity to either cause chronic inflammation of the oesophagus (with histological evidence), or to result in symptoms sufficient to warrant regular medical treatment. Minor symptomatic reflux without oesophagitis is very common, but is not a disease.
Confirming the diagnosis
The diagnosis is based on the clincial presentation (significantly symptomatic reflux) and is preferrably confirmed by upper gastrointestinal endoscopy, with histology. Symptoms may involve the oesophagus (particularly heart burn) but may also include manifestations in the larynx and pharynx (regurgitation, cough, hoarseness).
The relevant medical specialist is a gastroenterologist.
Additional diagnoses covered by SOP
- Reflux oesophagitis
- Reflux with oseophageal ulceration
Related conditions that may be covered by SOP (further information required)
- Heartburn
- Waterbrash
- Oesophagitis unspecified
Conditions not covered by SOP
- Barrett’s oesophagus*
- Oesophagitis due to radiation, infectious agents or corrosive agents#
- Oesophageal varices#
* Another SOP applies
# non-SOP condition
Clinical onset
An accurate clinical onset may be difficult to establish. Once the diagnosis has been confirmed and other causes of heartburn-type symptoms have been excluded, clinical onset can be backdated to when reflux symptoms of sufficient severity to warrant treatment first developed.
Clinical worsening
Permanent clinical worsening could be manifest by a persisting increase in the level of symptoms or the development of oesophageal ulcer, bleeding or stricture. Barrett's oesophagus is a separate condition, not a worsening of GORD.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/alphabetic-index-statements-principles/e-g/gastro-oesophageal-reflux-disease-j002/factors-ccps-18-july-2005/zollinger-ellison-syndrome