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ICD-10 Coding for Alcoholic Gastritis(K29.20, K29.21)

Complete ICD-10-CM coding and documentation guide for Alcoholic Gastritis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Alcohol-induced GastritisGastritis due to Alcohol

Related ICD-10 Code Ranges

Complete code families applicable to Alcoholic Gastritis

K29.2-K29.21Primary Range

Gastritis and duodenitis

This range includes codes specifically for alcoholic gastritis, with and without bleeding.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
K29.20Alcoholic gastritis without bleedingUse when alcoholic gastritis is confirmed without bleeding.
  • Endoscopic evidence of mucosal inflammation
  • Patient history of alcohol consumption
K29.21Alcoholic gastritis with bleedingUse when alcoholic gastritis is confirmed with bleeding.
  • Endoscopic evidence of mucosal inflammation with bleeding
  • Patient history of alcohol consumption

Clinical Decision Support

Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.

Key Information: ICD-10 code for alcoholic gastritis

Essential facts and insights about Alcoholic Gastritis

The ICD-10 code for alcoholic gastritis without bleeding is K29.20, and with bleeding is K29.21.

Primary ICD-10-CM Codes for alcoholic gastritis

Alcoholic gastritis without bleeding
Billable Code

Decision Criteria

clinical Criteria

  • Confirmed alcohol-induced inflammation without bleeding

Applicable To

  • Alcohol-induced gastritis without bleeding

Excludes

  • Eosinophilic gastritis (K52.81)
  • Zollinger-Ellison syndrome (E16.4)

Clinical Validation Requirements

  • Endoscopic evidence of mucosal inflammation
  • Patient history of alcohol consumption

Code-Specific Risks

  • Misclassification if bleeding is present but not documented

Coding Notes

  • Ensure documentation specifies alcohol as the causative factor.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Alcohol use disorder

F10.-
Use to specify the type of alcohol use disorder.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Gastritis, unspecified

K29.70
Use K29.70 when the cause of gastritis is not specified as alcohol.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Alcoholic Gastritis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K29.20.

Impact

Clinical: Misdiagnosis of gastritis type., Regulatory: Non-compliance with ICD-10 coding standards., Financial: Potential for reduced reimbursement.

Mitigation Strategy

Ensure thorough patient history is taken., Document specific findings linking alcohol to gastritis.

Impact

Reimbursement: Incorrect coding may lead to lower reimbursement., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate data on alcohol-related conditions.

Mitigation Strategy

Ensure documentation specifies alcohol as the cause and use K29.2x.

Impact

High error rate in coding alcoholic gastritis due to lack of documentation.

Mitigation Strategy

Implement thorough documentation practices and regular coding audits.

Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.

Frequently Asked Questions

Common questions about ICD-10 coding for Alcoholic Gastritis, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Alcoholic Gastritis

Use these documentation templates to ensure complete and accurate documentation for Alcoholic Gastritis. These templates include all required elements for proper coding and billing.

Patient with alcoholic gastritis and bleeding

Specialty: Gastroenterology

Required Elements

  • Patient history of alcohol use
  • Endoscopic findings
  • Presence of bleeding

Example Documentation

Patient presents with hematemesis and history of daily alcohol use. Endoscopy shows gastric erosions with bleeding.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has gastritis and drinks alcohol.
Good Documentation Example
Patient diagnosed with alcoholic gastritis due to daily alcohol use, confirmed by endoscopy showing bleeding.
Explanation
The good example specifies the causative factor and confirms bleeding, allowing for accurate coding.

Need help with ICD-10 coding for Alcoholic Gastritis? Ask your questions below.

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