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ICD-10 Guide
ICD-10 CodesK29.01

K29.01

Billable

Acute gastritis with bleeding

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/06/2025

Code Description

ICD-10 K29.01 is a billable code used to indicate a diagnosis of acute gastritis with bleeding.

Key Diagnostic Point:

Acute gastritis with bleeding is characterized by inflammation of the gastric mucosa, which can lead to erosion and subsequent bleeding. Clinically, patients may present with symptoms such as epigastric pain, nausea, vomiting (potentially with blood), and melena. The anatomy involved primarily includes the stomach, particularly the gastric lining. Disease progression can vary; if untreated, acute gastritis may lead to chronic gastritis or more severe complications such as perforation or significant hemorrhage. Diagnostic considerations include a thorough patient history, physical examination, and potentially endoscopy to visualize the gastric mucosa and assess for bleeding sources. Laboratory tests, including complete blood counts and stool tests for occult blood, may also be utilized to confirm the diagnosis and evaluate the severity of bleeding. Early identification and management are crucial to prevent complications associated with acute gastritis with bleeding.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires differential diagnosis from other gastrointestinal conditions such as peptic ulcers and esophagitis.
  • Treatment complexity: Management may involve medications such as proton pump inhibitors, and in severe cases, surgical intervention may be necessary.
  • Documentation requirements: Detailed clinical documentation is necessary to support the diagnosis and treatment plan.
  • Coding specificity: Requires accurate coding to differentiate from other gastritis types and gastrointestinal bleeding codes.

Audit Risk Factors

  • Common coding errors: Misclassification of gastritis types or failure to document bleeding.
  • Documentation gaps: Incomplete clinical notes regarding symptoms and treatment.
  • Billing challenges: Potential denials due to lack of supporting documentation for the diagnosis.

Specialty Focus

Medical Specialties

Gastroenterology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Internal Medicine

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related ICD-10 Codes

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Acute gastritis with bleeding has significant clinical implications, as it can lead to hospitalization and increased healthcare utilization. The condition is prevalent in populations with high rates of NSAID use, alcohol consumption, and stress-related mucosal disease. Quality measures focus on timely diagnosis and management to prevent complications, which can improve patient outcomes and reduce healthcare costs.

ICD-9 vs ICD-10

Acute gastritis with bleeding has significant clinical implications, as it can lead to hospitalization and increased healthcare utilization. The condition is prevalent in populations with high rates of NSAID use, alcohol consumption, and stress-related mucosal disease. Quality measures focus on timely diagnosis and management to prevent complications, which can improve patient outcomes and reduce healthcare costs.

Reimbursement & Billing Impact

Reimbursement considerations include the severity of the condition, the necessity for diagnostic procedures such as endoscopy, and any associated treatments. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity. Best practices include ensuring that all clinical notes are complete and that the rationale for procedures is clearly articulated in the patient's medical record.

Resources

Clinical References

  • •
    ICD-10 Official Guidelines for K00-K99
  • •
    Clinical Documentation Requirements

Coding & Billing References

  • •
    ICD-10 Official Guidelines for K00-K99
  • •
    Clinical Documentation Requirements

Frequently Asked Questions

What specific conditions are covered by K29.01?

K29.01 covers acute gastritis characterized by inflammation of the gastric lining with associated bleeding. This includes cases where patients exhibit hematemesis or melena as a result of the condition.

When should K29.01 be used instead of related codes?

K29.01 should be used when there is clear evidence of acute gastritis accompanied by bleeding. If there is no bleeding, K29.00 should be selected. Accurate documentation of symptoms and diagnostic findings is essential for appropriate code selection.

What documentation supports K29.01?

Documentation should include a detailed patient history, physical examination findings, laboratory results indicating bleeding, and any imaging or endoscopic findings that confirm acute gastritis with bleeding.