ICD-10 Coding for Helicobacter pylori gastritis(K29.70, B96.81)
Complete ICD-10-CM coding and documentation guide for Helicobacter pylori gastritis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Helicobacter pylori gastritis
K29-K29.9Primary Range
Gastritis and duodenitis
This range includes codes for various types of gastritis, including those associated with Helicobacter pylori.
Other bacterial agents as the cause of diseases classified elsewhere
This range includes codes for bacterial infections, such as Helicobacter pylori, that cause other conditions.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| K29.70 | Gastritis, unspecified, without bleeding | Use when gastritis is confirmed but not further specified, and Helicobacter pylori is identified. |
|
| B96.81 | Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | Use as an additional code when Helicobacter pylori is identified as the causative agent of gastritis or ulcers. |
|
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 Helicobacter pylori gastritis
Essential facts and insights about Helicobacter pylori gastritis
Primary ICD-10-CM Codes for helicobacter pylori gastritis
Decision Criteria
clinical Criteria
- Confirmed gastritis with Helicobacter pylori identified
Applicable To
- Unspecified gastritis without bleeding
Clinical Validation Requirements
- Endoscopic findings of erythema or nodularity
- Histological confirmation of gastritis
Code-Specific Risks
- Risk of under-documentation if Helicobacter pylori is not specified
Coding Notes
- Ensure Helicobacter pylori is documented as the causative agent.
B96.81 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere
Use as an additional code when Helicobacter pylori is identified as the causative agent of gastritis or ulcers.
Applicable To
- Helicobacter pylori infection
Excludes
- Primary Helicobacter pylori infection without specified condition
Clinical Validation Requirements
- Positive urea breath test
- Positive stool antigen test
- Histological identification of Helicobacter pylori
Coding Notes
Always pair with a primary code indicating the condition caused by Helicobacter pylori.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere
B96.81Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Helicobacter pylori gastritis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K29.70.
Impact
Clinical: May lead to inappropriate treatment., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Ensure test results are included in the documentation., Use templates that prompt for causative organism documentation.
Impact
Reimbursement: May lead to claim denials if used incorrectly as a primary code., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate representation of patient condition.
Mitigation Strategy
Always use B96.81 as an additional code with a primary gastritis or ulcer code.
Impact
Using B96.81 as a primary code instead of an additional code.
Mitigation Strategy
Educate coding staff on proper code sequencing.
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 Helicobacter pylori gastritis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Helicobacter pylori gastritis
Use these documentation templates to ensure complete and accurate documentation for Helicobacter pylori gastritis. These templates include all required elements for proper coding and billing.
Diagnosis of Helicobacter pylori gastritis
Specialty: GastroenterologyRequired Elements
- Patient symptoms
- Test results
- Endoscopic findings
- Histological findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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