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ICD-10 Coding for Gastritis(K29.01, K29.70)

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

Also known as:

Stomach inflammationGastric mucosal inflammation

Related ICD-10 Code Ranges

Complete code families applicable to Gastritis

K29.0-K29.7Primary Range

Gastritis and duodenitis

This range includes all forms of gastritis, both acute and chronic, with or without bleeding.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
K29.01Acute gastritis with bleedingUse when acute gastritis is confirmed with active bleeding during endoscopy.
  • Endoscopic confirmation of mucosal bleeding
  • Hemoglobin levels indicating anemia
K29.70Chronic gastritis without bleedingUse when chronic gastritis is confirmed without any bleeding.
  • Histologic confirmation of chronic inflammation
  • Absence of bleeding on endoscopy

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 acute gastritis with bleeding

Essential facts and insights about Gastritis

The ICD-10 code for acute gastritis with bleeding is K29.01, used when bleeding is confirmed endoscopically.

Primary ICD-10-CM Codes for gastritis

Acute gastritis with bleeding
Billable Code

Decision Criteria

clinical Criteria

  • Active bleeding visualized during endoscopy

Applicable To

  • Acute gastritis with active bleeding

Excludes

  • Gastritis due to alcohol (K29.2)

Clinical Validation Requirements

  • Endoscopic confirmation of mucosal bleeding
  • Hemoglobin levels indicating anemia

Code-Specific Risks

  • Incorrectly coding without endoscopic confirmation

Coding Notes

  • Ensure documentation specifies bleeding is due to gastritis.

Differential Codes

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

Gastrointestinal hemorrhage, unspecified

K92.2
Use K92.2 only if the bleeding source is not related to gastritis.

Chronic gastritis with bleeding

K29.71
Use K29.71 if chronic gastritis is accompanied by bleeding.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Gastritis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K29.01.

Impact

Clinical: May lead to inappropriate treatment plans., Regulatory: Increases risk of audits., Financial: Potential for claim denials.

Mitigation Strategy

Ensure documentation includes duration of symptoms., Use histologic reports to confirm chronicity.

Impact

Reimbursement: May lead to claim denials or reduced reimbursement., Compliance: Increases risk of audits due to lack of specificity., Data Quality: Reduces accuracy of clinical data.

Mitigation Strategy

Always use the most specific code available, such as K29.01 for acute gastritis with bleeding.

Impact

Using unspecified codes when specific codes are available increases audit risk.

Mitigation Strategy

Use specific codes like K29.01 when documentation supports it.

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 Gastritis, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Gastritis

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

Acute gastritis with bleeding

Specialty: Gastroenterology

Required Elements

  • Onset and duration of symptoms
  • Endoscopic findings
  • Bleeding status

Example Documentation

Patient presents with sudden onset of epigastric pain and hematemesis. EGD shows erosive gastritis with active bleeding.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Gastritis with bleeding.
Good Documentation Example
Acute gastritis with active bleeding confirmed by endoscopy.
Explanation
The good example provides specific confirmation and details of the bleeding status.

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

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