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ICD-10 Coding for H. pylori Gastritis(K29.70, B96.81)

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

Also known as:

Helicobacter pylori GastritisH. pylori-associated Gastritis

Related ICD-10 Code Ranges

Complete code families applicable to H. pylori Gastritis

K29-K29.9Primary Range

Gastritis and duodenitis

This range includes codes for gastritis, which is the primary condition affected by H. pylori.

Other bacterial agents as the cause of diseases classified elsewhere

This range includes B96.81, which is used to identify H. pylori as the causative agent.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
K29.70Gastritis, unspecified, without bleedingUse when gastritis is confirmed to be associated with H. pylori infection.
  • Histopathology confirmation
  • Positive rapid urease test
B96.81Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhereUse as a secondary code when H. pylori is identified as the causative agent.
  • Positive urea breath test
  • Positive stool antigen test

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 H. pylori gastritis

Essential facts and insights about H. pylori Gastritis

The ICD-10 code for H. pylori gastritis is K29.70, with B96.81 indicating H. pylori as the cause.

Primary ICD-10-CM Codes for hours pylori gastritis

Gastritis, unspecified, without bleeding
Billable Code

Decision Criteria

clinical Criteria

  • Confirmed H. pylori infection with gastritis symptoms.

Applicable To

  • Gastritis associated with H. pylori

Excludes

  • Gastritis with bleeding (K29.71)

Clinical Validation Requirements

  • Histopathology confirmation
  • Positive rapid urease test

Code-Specific Risks

  • Ensure H. pylori is documented as the causative agent.

Coding Notes

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

B96.81
Use as a secondary code to specify H. pylori as the causative agent.

Differential Codes

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

Gastritis, unspecified, with bleeding

K29.71
Use K29.71 if there is documented bleeding.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting H. 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: Inaccurate treatment plans., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.

Mitigation Strategy

Always document H. pylori as the causative agent when applicable.

Impact

Reimbursement: Claims may be denied if B96.81 is used as primary., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate representation of the patient's condition.

Mitigation Strategy

Always pair B96.81 with a primary gastritis code like K29.70.

Impact

Inaccurate or incomplete documentation of H. pylori association.

Mitigation Strategy

Implement thorough documentation practices.

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

Documentation Templates for H. pylori Gastritis

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

Documenting H. pylori gastritis

Specialty: Gastroenterology

Required Elements

  • Biopsy results
  • Test type and results
  • Symptoms and duration

Example Documentation

Patient presents with chronic gastritis symptoms. Biopsy confirms H. pylori infection. Rapid urease test positive.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Gastritis diagnosed.
Good Documentation Example
Chronic gastritis confirmed by biopsy, H. pylori positive by urease test.
Explanation
The good example provides specific test results and confirms the causative agent.

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

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