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ICD-10 Coding for Reactive Gastropathy(K29.70)

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

Also known as:

Chemical Gastropathy

Related ICD-10 Code Ranges

Complete code families applicable to Reactive Gastropathy

K29.6-K29.7Primary Range

Gastritis and duodenitis

This range includes codes for various types of gastritis, including reactive gastropathy.

Poisoning by nonopioid analgesics, antipyretics and antirheumatics

Relevant for coding adverse effects of NSAIDs, a common cause of reactive gastropathy.

Other postprocedural disorders of digestive system

Used for coding bile reflux, another cause of reactive gastropathy.

Key Information: What is the ICD-10 code for reactive gastropathy?

Essential facts and insights about Reactive Gastropathy

The ICD-10 code for reactive gastropathy is K29.70, used for gastritis, unspecified, without bleeding.

Primary ICD-10-CM Code for reactive gastropathy

Gastritis, unspecified, without bleeding
Billable Code

Decision Criteria

clinical Criteria

  • Confirmed reactive gastropathy without bleeding

coding Criteria

  • Documented use of NSAIDs or bile reflux

Applicable To

  • Reactive gastropathy
  • Chemical gastropathy

Excludes

  • K29.71 (Gastritis, unspecified, with bleeding)

Clinical Validation Requirements

  • Endoscopy findings of mucosal erythema and erosions
  • Histology showing foveolar hyperplasia and minimal inflammation
  • Negative H. pylori test

Code-Specific Risks

  • Incorrectly coding as K29.9 (Gastroduodenitis, unspecified)

Coding Notes

  • Ensure the cause of gastropathy is documented to select appropriate ancillary codes.

Ancillary Codes

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

Adverse effect of NSAIDs

T39.315A
Use when reactive gastropathy is due to NSAID use.

Other postprocedural complications

K91.89
Use when reactive gastropathy is due to bile reflux.

Differential Codes

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

Gastroduodenitis, unspecified

K29.9
Use K29.70 for confirmed reactive gastropathy; K29.9 is too vague.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Reactive Gastropathy 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 guidelines., Financial: Potential for denied claims.

Mitigation Strategy

Always document patient history and diagnostic findings., Use templates to ensure comprehensive documentation.

Impact

Reimbursement: May result in lower reimbursement rates., Compliance: Non-compliance with specificity requirements., Data Quality: Decreases accuracy of medical records.

Mitigation Strategy

Use K29.70 for confirmed reactive gastropathy.

Impact

Risk of coding unspecified gastritis when reactive gastropathy is confirmed.

Mitigation Strategy

Use K29.70 with appropriate ancillary codes for specific causes.

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

Documentation Templates for Reactive Gastropathy

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

Reactive gastropathy due to NSAID use

Specialty: Gastroenterology

Required Elements

  • Patient history of NSAID use
  • Endoscopy findings
  • Histology results
  • Negative H. pylori test

Example Documentation

Patient presents with epigastric pain. History of chronic ibuprofen use. Endoscopy shows reactive gastropathy. Biopsy negative for H. pylori.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has gastritis.
Good Documentation Example
Patient has reactive gastropathy due to chronic NSAID use, confirmed by endoscopy and biopsy.
Explanation
The good example provides specific etiology and diagnostic confirmation.

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

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