Functional Dyspepsia: Diagnostic and Therapeutic Approaches. Dyspepsia without an ulcer (non-ulcer dyspepsia) is diagnosed in patients at least twice as often as peptic ulceration. Famotidine in the treatment of functional dyspepsia: a randomized double-blind, placebo-controlled trial J Egypt Public Health Assoc. 7 may differ. 9. 299 results found. 299 results found. 9 : K00-K95. The biopsychosocial model for functional gastrointestinal disorder. Of this 40 percent, five percent consult their GP about their symptoms and one percent go on to have an endoscopy. 81. Non-Billable On/After Oct 1/2015. ICD-10-CM Codes List. Read Time: 4 Minutes. dissociative anesthesia and sensory loss (F44. 9 [convert to ICD-9-CM] Unspecified abdominal pain. Convert to ICD-10-CM: 536. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code K31. 8 should only be used for claims with a date of service on or before September 30, 2015. 26. The "K" codes in the ICD-10. ICD-10-CM Diagnosis Code R12. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code (or codes). Common symptoms include bloating, discomfort, feeling too full, nausea, and gas. F45. Functional dyspepsia Billable Code. 82 [convert to ICD-9-CM] Decreased libido. Browse all the diagnosis codes used for functional dyspepsia (k30). 5 Polyp of colonNon-biliary causes of PCS may be caused by a functional gastrointestinal disorder, such as functional dyspepsia. Type 1 Excludes. K30 - Functional dyspepsia. It is characterised by recurring or persistent pain or discomfort in the upper abdomen, often accompanied by symptoms such as bloating, feeling full quickly after eating, and nausea. In a meta-analysis of 23 studies, H. ICD-9-CM 536. Heartburn (R12) R11. 1uphealth is the most comprehensive resource to lookup and find ICD codes (international classification of diseases) and data online, from the years 2010-2021. Black CJ, Paine PA, Agrawal A et al. This code description may also have Includes, Excludes,. The pain can come and go, or it can be continuous. ICD-10-CM Diagnosis Code R19. K27 Peptic ulcer, site unspecified. The biopsychosocial model for functional gastrointestinal disorder. 13) heartburn (R12) nervous dyspepsia (F45. This chapter includes symptoms, signs, abnormal. British Society of Gastroenterology guidelines on the management of functional dyspepsia. 1,2 It affects 10% of the population and is more prevalent in women. Code History. These conditions are not only common in clinical practice, but also in the community. ICD-10-CM/PCS MS-DRG v39. anxiolytic withdrawal F13. 13)-heartburn -nervous dyspepsia F45. Dyspepsia is a common condition associated with gastrointesti-nal (GI) disease, with a global prevalence of at least 20%. (range: 10‐40%) of patients with GERD fail to respond symptomatically to a standard‐dose PPI, either partially or completely. functional dyspepsia based on symptom predominance, such as GERD-like, ulcer-like, dysmotility-like, and a separate category of unspecified dyspepsia. 8); psychogenic dyspepsia (F45. Short description: Stomach function dis NEC. You’re diagnosed with FD when no obvious. 844. Subscribe to Codify by AAPC and get the code details in a flash. (IBS), functional constipation, functional vomiting, and functional dyspepsia. Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified. Functional dyspepsia. 1. ICD-10-CM Diagnosis Code K30 - Functional dyspepsia Home ICD-10-CM Codes K00–K93 - Diseases of the digestive system K20-K31 - Diseases of esophagus, stomach. Showing 1-25: ICD-10-CM Diagnosis Code K30 [convert to ICD-9-CM] Functional dyspepsia. 2 [convert to ICD-9-CM]. It means that no known cause can be found for the symptoms. Short description: Stomach function dis NEC. This is the American ICD-10-CM version of K30 – other international versions of ICD-10 K30. Among children with functional abdominal pain disorder in primary care, functional abdominal pain–not otherwise specified is most common (53. This can be treated with a bile acid sequestrant like cholestyramine, colestipol or colesevelam, which may be better tolerated. This is the 10th Revision (ICD-10)-WHO Version for International Statistical Classification of Diseases and Related. 299 results found. ICD-10: K30 - Functional dyspepsia. Symptoms may be chronic and relapsing that can influence the quality of life. Abdominal pain, epigastric; Dyspepsia (indigestion); Indigestion; functional dyspepsia. 8) neurotic dyspepsia (F45. It is characterised by recurring or persistent pain or discomfort in the upper abdomen, often accompanied by symptoms such as bloating, feeling full quickly after eating, and nausea. 89. 9 became effective on October 1, 2023. 2023/2024 ICD-10-CM Index › 'D' Terms › Index Terms Starting With 'D' (Delay, delayed) Index Terms Starting With 'D' (Delay, delayed)Patients were recruited through a review of the electronic medical records, using International Classification of Diseases (ICD-10) code K31. 2024 - New Code Billable/Specific Code. The global prevalence ranges from 5% to 11%. 2 - other international versions of ICD-10 R14. It affects 5 to 11% of the population. The exact cause of your digestive problems is unknown. 8 should only be used for claims with a date of service on or before September 30, 2015. Heartburn is excluded from the definition of dyspesia in ICD 10, as it usually has a different cause and management pathway. Functional dyspepsia Dyspepsia (indigestion), not from ulcer; Gastric motor function disorder; Nonulcer dyspepsia; dyspepsia NOS (R10. % of Total ICD 5368 - Dyspepsia and other specified disorders of function of stomach in DRG: 1. 50. K59. 9 - Unspecified abdominal pain answers are found in the ICD-10-CM powered by Unbound Medicine. K30 Functional dyspepsia; Advertise with. Gastroenterology Unit, Mayo Clinic, Rochester, Minnesota. Functional dyspepsia: K310: Acute dilatation of stomach: K312: Hourglass stricture and stenosis of stomach: K313:. This is the American ICD-10-CM version of A92. dyspepsia NOS (. 9 became effective on October 1, 2023. 4 Both in uninvestigated dyspepsia in the. Gastroenterology Unit, Mayo Clinic, Rochester, Minnesota. K30 Functional dyspepsia; ICD-10-CM Diagnosis Code G71. The 2024 edition of ICD-10-CM K21. Dyspepsia is a common condition associated with gastrointesti-nal (GI) disease, with a global prevalence of at least 20%. This chapter includes symptoms, signs, abnormal. Dyspepsia is an upper gastrointestinal tract syndrome that is common in the world. [6] In Asian countries, the prevalence is 5% to 30%. Rift Valley fever. K25 Gastric ulcer. This is the American ICD-10-CM version of K30 -. 9 - other international versions of ICD-10 K92. PMC8132673. ICD-10 Description; 536. Dyspepsia is classified into organic and functional. It used to be called 'non-ulcer dyspepsia'. The most recent diagnostic criteria provide for two fun. Oligosymptomatic dyspepsia needs no pharmacological treatment and in most cases it is enough to. Functional dyspepsia - instead, use Code K30. 2 K62. -)ICD-10-CM Diagnosis Code K30. Functional dyspepsia is a kind of chronic indigestion — a stomach ache, a feeling of fullness or bloating during and after meals. Following the revision policy of. This chapter includes symptoms, signs, abnormal. Defined by Rome IV criteria, functional abdominal bloating and distension commonly coincide with other functional gastrointestinal disorders, such as functional dyspepsia, irritable bowel syndrome, and functional constipation. 2023 - New Code 2024 Billable/Specific Code. Epub 2022 Jul 7. Th is guideline will focus on initial investigations for dyspep-sia such as Helicobacter pylori ( H. 8 is dyspepsia and other specified disorders of function of stomach (5368). DD90. Diagnosis is made in the absence of any organic cause. The 2024 edition of ICD-10-CM K30 became effective on October 1, 2023. 299 results found. Lifestyle changes can often help. 13); functional dyspepsia (K30) ICD-10-CM Diagnosis Code R12. Functional dyspepsia refers to patients with dyspepsia where endoscopy (and other tests where relevant) has ruled out organic pathology that explains the patient’s symptoms. 9. The most recent diagnostic criteria provide for two functional dyspepsia subtypes, epigastric pain. 8 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 536. pylori) testing and endoscopyIntroduction. The ICD-10 code for dyspepsia is K30. (due to bacteria) Idiot, idiocy. 8 should only be used for claims with a date of service on or before September 30, 2015. Symptoms are pain in the upper abdomen of unclear localization, nausea, heartburn, a feeling of fullness of the stomach, rapid saturation after eating, etc. Codes are sorted in alphabetical orderand grouped by sections. The 2024 edition of ICD-10-CM G71. 16 In addition, a 2018 screening of 200 patients discovered food hypersensitivity in 4% of those with a functional GI disorder, 5 and a strong association was. The exact cause of nonulcer dyspepsia is not known, but many myths have evolved regarding its etiology and treatment. Download the app! INSTALL. 0 became effective on October 1, 2023. 0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Abdominal bloating and distension can develop for multiple reasons, including food intolerances, a previous infection. For presumed functional dyspepsia, noninvasive testing for. 035. This list is intended to aid physicians when providing ICD-10Abstract. 2020 Sep;80 (13):1319-1336. 3-5 Functional dyspepsia refers to troublesome upper gastrointestinal symptoms including inability to finish a meal (early satiety), postprandial fullness, and epigastric pain or. We hypothesised that in patients with postprandial bloating. K59. Search All ICD-10 Toggle Dropdown. 72 to ICD-9-CM. These disorders also can cause symptoms beyond the esophagus, including the throat (coughing, hoarse voice, and throat. There is considerable research into the causes, diagnosis and treatments for FGIDs. The following code (s) above K92. K20-K31. This is the first attempt at defining criteria for functional gastrointestinal disorders (FGIDs) in infancy, childhood, and adolescence. (See "Evaluation of the adult with chest pain of esophageal origin" and "Functional dyspepsia in adults". The 2024 edition of ICD-10-CM A05. The 2024 edition of ICD-10-CM R14. doi: 10. 035 - other. 症状. Other specified functional intestinal disorders. “GERD and dyspepsia can be very challenging to differentiate,” Dr Heidelbaugh said. ICD-10 is the 10th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD), a medical classification. 00 [convert to ICD-9-CM] Constipation, unspecified. 89 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 564. Heartburn. S). 3: Avg LOS at DRG: 4. Gastroparesis (GP) and functional dyspepsia (FD) are two of the most common gastric neuromuscular disorders. ICD-10-CM Diagnosis Codes Overview The International Classification of Diseases, 10th Revision (ICD-10) is the official system to assign health care codes describingdiagnoses and procedures in the United States (U. Introduction: Functional dyspepsia (FD), defined by the Rome consensus as the presence of functional symptoms originating from the gastroduodenum, is one of the most common functional gastrointestinal disorders. Dyspepsia, which is defined as pain or discomfort centered in the upper abdomen, is encountered frequently in primary care and subspecialty practice. 8); psychogenic dyspepsia (F45. In a meta-analysis of 23 studies, H. 9 - other international versions of ICD-10 R15. 888. 28: Avg LOS with ICD K30 - Functional dyspepsia: 10. Toggle navigation. Out of those who have an endoscopy, 40 percent have functional dyspepsia, 40 percent have GORD and 13 percent have some form of ulcer. 43: Unplanned. Orang yang mengalami dispepsia fungsional umumnya akan merasakan gejala sakit perut bagian atas (ulu hati) yang disertai dengan perasaan kembung, sendawa, dan mual. R10. Dyspepsia (indigestion), not from ulcer; Gastric motor function disorder; Nonulcer dyspepsia; dyspepsia NOS (R10. 9 may differ. 7326/0003-4819-108-6-865. 2 became effective on October 1, 2023. Code Version: 2015 ICD-9-CM. 035. Purchase a subscription I’m already a subscriber. 9 for diagnoses of any type of peptic ulcer before baseline and as far back as January 1989. ICD-10-CM/PCS codes version 2016/2017/2018/2019/2020/2021, ICD10 data search engineR49. R10. -) flatulence and related conditions (R14. Code History. Abdominal pain, epigastric; Dyspepsia (indigestion); Indigestion; functional dyspepsia (K30); Dyspepsia. 13); heartburn (R12); nervous. Functional dyspepsia (FD or non‐ulcer dyspepsia) is defined as continuous or frequently recurring epigastric pain or discomfort for which no organic cause can be found. Additional recommended knowledge. This is the American ICD-10-CM version of K00. Functional gastrointestinal disorders—recently renamed into disorders of gut–brain interaction—such as irritable bowel syndrome and functional dyspepsia are highly prevalent conditions with bothersome abdominal symptoms in the absence of structural abnormalities. ICD List 2023-2024 Edition. 1097/01. Because the differential diagnosis of dyspepsia is broad, initial efforts should be focused on the most common etiologies . Teething syndrome. Showing 126-150: ICD-10-CM Diagnosis Code H02. You may have pain in your upper abdomen. 58,59 Patients need to be warned about anticholinergic side. Access the full Coding Guide for $9. ) Functional heartburn — Functional heartburn is among the most common cause for failure of PPI treatment. 39ICD-10-CM Diagnosis Code D35 Benign neoplasm of other and unspecified endocrine glands benign neoplasm of endocrine pancreas (D13. Frontal lobe and executive function deficit. KZ0 Dyspepsia. “GERD and dyspepsia can be very challenging to differentiate,” Dr Heidelbaugh said. Functional dyspepsia is not the same as uninvestigated dyspepsia. K30 Functional dyspepsia. The most common presentation of GERD in gastrointestinal practice has now becomeICD-10 code K30 for Functional dyspepsia. Famotidine in the treatment of functional dyspepsia: a randomized double-blind, placebo-controlled trial J Egypt Public Health Assoc. Dementia in other diseases classified elsewhere, moderate, NOS. R13. ICD-10 is the 10th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD), a medical classification. The prevalence varies by diagnostic criteria, region, sex, and age []. ICD-10-CM Diagnosis Code R19. The pain can be chronic or recurrent. Patients with irritable bowel syndrome and abdominal bloating exhibit abnormal responses of the abdominal wall to colonic gas loads. This overview of the common gastrointestinal disorders in primary care will help you get ready for ICD-10 and avoid, say, K30 – indigestion. Nyeri/rasa panas di daerah ulu hati, rasa penuh/tidak nyaman setelah makan, rasa cepat kenyang, kembung, mual/muntah, bersendawa; Tanda bahaya ( alarm symptoms ): muntah yang menetap, perdarahan, anemia, massa di perut, penurunan berat badan yang tidak. Many factors are believed to be related, including medical history, family history, lifestyle, diet, and psychological factors. 0 Nausea R11. 3 Functional dyspepsia International Classification of Diseases for Mortality and Morbidity Statistics, 11th Revision, v2023-01. Flatulence and related conditions. 7 th Character Notes; Category Notes;ICD-9-CM 536. 2019. C:/Postscript/03_HCNA3_D4. 299 results found. Functional dyspepsia is a common functional gastrointestinal (GI) disorder of gastroduodenal origin, diagnosed clinically in the presence of prototypical symptoms of epigastric pain and meal-related symptoms, and without structural explanation. 1 In the absence of known organic etiologies such as peptic ulcer disease or Helicobacter pylori infection, many patients with such symptoms are labeled as suffering. 2023 ICD - 10 - CM for SLPs Page | 3. Abdominal pain; Abdominal pain, acute; Abdominal pain, chronic; Abdominal pain, recurrent; Abdominal pain, visceral; Abdominal wall pain; Acute abdominal pain; Acute exacerbation of chronic abdominal pain; Chronic. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code (or codes). Post-infectious functional dyspepsia occurs in one out of 10 individuals, and the estimated odds ratio is 2. Dyspepsia is a digestive disorder caused by organic and functional causes. 13 [convert to ICD-9-CM] Epigastric pain. Abdominal bloating and distension can develop for multiple reasons, including food intolerances, a previous infection. 42: Avg LOS with ICD 5368 - Dyspepsia and other specified disorders of function of stomach: 5. The 2024 edition of ICD-10-CM K92. It is a chronic condition associated with the abnormal. ICD-10-CM Diagnosis Code K30 - Functional dyspepsia Home ICD-10-CM Codes K00–K93 - Diseases of the digestive system K20-K31 - Diseases of esophagus, stomach and duodenum K30 - Functional dyspepsia 2024 ICD-10-CM Code K30 Version 2024 Billable Code MS-DRG Mapping Convert to ICD-9 2024 ICD-10-CM Diagnosis Code K30 Functional dyspepsia ICD-10 code K30 for Functional dyspepsia is a medical classification as listed by WHO under the range - Diseases of the digestive system . Applicable To. Code. [6] In Asian countries, the prevalence is 5% to 30%. 5. 8. ICD-10-CM Diagnosis Code. Functional dyspepsia (FD) is a chronic symptom complex characterized by epigastric pain or burning, bothersome postprandial fullness, or early satiation without a definitive organic cause. Functional dyspepsia (K30)Bacterial foodborne intoxication, unspecified. Functional dyspepsia. They include: Gas remedies that are available without a prescription. ICD-10-CM A04. This is the American ICD-10-CM version of R10. Postprandial distress syndrome: stratification and management. 8. 8); teeth-grinding NOS (F45. 035 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Showing 226-250: ICD-10-PCS Procedure Code F07M3EZ [convert to ICD-9-CM] Motor Function Treatment of Musculoskeletal System - Whole Body using Orthosis. The symptoms of functional dyspepsia are directly caused by two major pathophysiological abnormalities abnormal gastric motility and visceral hypersensitivity. Search Results. 8)This study synthesised the existing TCM diagnostic instruments for functional dyspepsia (FD) and appraised their quality regarding their development process and measurement properties. 36–2. Similarly, in icd-9, diseases of the oesophagus (530) do not include symptomatic reflux disease without oesophagitis. 9 became effective on October 1, 2023. 536. 04 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Chronic diarrhea in postcholecystectomy syndrome is a type of bile acid diarrhea (type 3). 0 - other international versions of ICD-10 R14. K30 - Functional dyspepsia InclusionTerm:-Indigestion Excludes 1:-dyspepsia NOS R10. This is the 10th Revision (ICD-10)-WHO Version for International Statistical Classification of Diseases and Related. 72 patients were excluded because they reported having dyspeptic or bowel symptoms before their COVID-19 diagnosis. Additionally,. 13); heartburn (R12); nervous dyspepsia (F45. This paper is intended to be a quick reference. View ICD-10 Tree Chapter 11 - Diseases of the digestive system (K00-K95) » Other diseases of intestines (K55-K64) » Chronic idiopathic constipation (K59. Suitable workup an. New onset of dyspepsia in a patient over age 60. ICD-10 Basics Check out these videos to learn more about ICD-10. Abdominal rigidity; Abdominal rigidity of epigastrium. Urinary incontinence, ; stress incontinence and other specified urinary incontinence (N39. 89 became effective on October 1, 2023. 8 for Dyspepsia and other specified disorders of function of stomach is a medical classification as listed by WHO under the range -DISEASES OF ESOPHAGUS, STOMACH, AND DUODENUM (530-539). 26. Acid suppressive therapy, including proton pump inhibitors (PPIs), has been proposed as a therapeutic option in FD, but its efficacy remains controversial. ICD-10-CM Diagnosis Code R55. 8); neurotic dyspepsia (F45. K30 - Functional dyspepsia K30 - Functional dyspepsia answers are found in the ICD-10-CM powered by Unbound Medicine. Short description: STOMACH FUNCTION DIS NEC. It affects 5 to 11% of the population. 8 became effective on. Approach to the evaluation” (Sharif et al, 2020), “Functional dyspepsia in adults” (Longstreth and Lacy, 2020) and “Functional abdominal pain in children and adolescents: Management in primary care. 84 Gastroparesis. 13. 02 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Outlet dysfunction constipation. 299 results found. 草本补充剂。. % of Total ICD 5368 - Dyspepsia and other specified disorders of function of stomach in DRG: 1. This is the American ICD-10-CM version of K31. Heartburn. “About 40% of cases are what we call ‘functional dyspepsia. Functional dyspepsia is a disorder defined as the presence of dyspepsia symptoms thought to originate from the gastroduodenal region, in the absence of any organic, systemic, or metabolic disease. 13) heartburn (R12) nervous dyspepsia (F45. 2 [convert to ICD-9-CM] Acute paralytic. Inclusion. Tanda dan gejala dispepsia fungsional. 饱胀感又称饱腹感。. 8 should only be used for claims with a date of service on or before September 30, 2015. Tanda dan gejala dispepsia fungsional yang umum muncul yaitu: sensasi terbakar atau rasa tidak nyaman pada perut atas atau dada bawah, kadang mereda dengan makanan atau obat-obatan antasida, perut kembung, sendawa, cepat merasa kenyang, dan. A large fraction of patients with dyspepsia suffer from functional dyspepsia, in which no. ICD-10-CM Coding Rules. K30 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 13); heartburn (R12); nervous dyspepsia (F45. 13); heartburn (R12); nervous dyspepsia (F45. Applicable To. This is the American ICD-10-CM version of R12 - other international versions of ICD-10 R12 may differ. Executive Summary. 8 Stomach Function Dis Ot K30 Functional dyspepsia V76. Functional dyspepsia prevalence varies worldwide, with higher rates of 10% to 40% in Western countries, including the United States (US). 2 K62. 0 Acute dilatation of stomach . 8) ICD-10-CM Diagnosis Code R06. 8 ICD-9 Billable Dyspepsia and other. ’. Ratings under DC 7346 range from 10 to 60 percent disabling, and depend on the presence and severity of a variety of. This code is used when the doctor diagnoses a patient with Gastroesophageal reflux disease, a chronic gastric condition that occurs when stomach acids flow back to the esophagus. " ICD-10-CM, 10th ed. 63) atonic K30 ICD-10-CM Diagnosis Code K30 Functional dyspepsia 2016 2017 2018 2019 2020 2021 2022 2023 2024. Look up free coding details for ICD-10 code range K20-K31 that cover Diseases of esophagus, stomach and duodenum. Showing 1-25: ICD-10-CM Diagnosis Code R10. ) Functional heartburn — Functional heartburn is among the most common cause for failure of PPI treatment. Indigestion Excludes1: dyspepsia NOS (R10. The code K30 is VALID for claim submission. This is the American ICD-10-CM version of R14. (range: 10‐40%) of patients with GERD fail to respond symptomatically to a standard‐dose PPI, either partially or completely. 8 should only be used for claims with a date of service on or before September 30, 2015. FGDs lack identifiable biomarkers, and therefore, like all functional disorders, FGDs are diagnosed based on. K59. K30 - Functional dyspepsia. Functional dyspepsia is spoken of in the case when, in the presence of symptoms of impaired gastric activity, no organic pathology is detected that could cause these complaints. 06 [convert to ICD-9-CM] Epigastric swelling, mass or lump. Limb girdle muscular dystrophy due to anoctamin-5 dysfunction. S). (ICD-10) diagnoses of IBS and/or FD, following clinical routines. 进食时很快有饱胀感。. 2 Newborn affected by other and unspecified morphological and functional abnormalities of placenta ICD-10-CM Diagnosis Code P02. During upper. It used to be called 'non-ulcer dyspepsia'. Functional dyspepsia is a common functional gastrointestinal (GI) disorder of gastroduodenal origin, diagnosed clinically in the presence of prototypical symptoms of epigastric pain and meal-related symptoms, and without structural explanation. It can also be made worse by esophageal reflux, constipation, food. 4-); urinary incontinence NOS (R32); Urinary incontinence due to cognitive impairment, or severe physical disability or immobility. 8); psychogenic dyspepsia (F45. The Functional Gastrointestinal Disorders. Functional Neurological Disorder (FND) involves neurological symptoms that have no clear medical explanation. 8) neurotic dyspepsia (F45. 13. K30 Functional dyspepsia;. This is the American ICD-10-CM version of R49. An ingredient called simethicone may provide some relief by reducing intestinal gas. 4 Enteroptosis K63. 1 Adult hypertrophic pyloric stenosis K31.