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ICD-10 Guide
ICD-10 CodesK29.2

K29.2

Non-billable

Alcoholic gastritis

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

Code Description

ICD-10 K29.2 is a used to indicate a diagnosis of alcoholic gastritis.

Key Diagnostic Point:

Alcoholic gastritis is an inflammatory condition of the gastric mucosa resulting from excessive alcohol consumption. Clinically, patients may present with symptoms such as epigastric pain, nausea, vomiting, and dyspepsia. The anatomy involved primarily includes the stomach, particularly the gastric mucosa, which becomes inflamed due to the toxic effects of alcohol. Disease progression can lead to chronic gastritis, which may result in complications such as gastric ulcers or even gastric cancer if alcohol consumption continues unchecked. Diagnostic considerations include a thorough patient history focusing on alcohol intake, physical examination, and potentially endoscopic evaluation to assess the extent of mucosal damage. Laboratory tests may also be performed to rule out other causes of gastritis and to evaluate for anemia or other complications. It is essential for healthcare providers to recognize the link between alcohol use and gastrointestinal disorders to provide appropriate interventions and support for cessation.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires a detailed patient history and possibly endoscopic evaluation.
  • Treatment complexity: Involves managing both the gastritis and the underlying alcohol use disorder.
  • Documentation requirements: Requires comprehensive documentation of alcohol use and symptoms.
  • Coding specificity: Specific to alcoholic gastritis, differentiating it from other types of gastritis.

Audit Risk Factors

  • Common coding errors: Misclassification with other gastritis codes.
  • Documentation gaps: Incomplete history of alcohol use or lack of symptom description.
  • Billing challenges: Potential denials if documentation does not clearly support the diagnosis.

Specialty Focus

Medical Specialties

Primary medical specialty: 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

Secondary specialty: Addiction 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

Alcoholic gastritis has significant clinical implications, as it can lead to chronic gastrointestinal issues and increased healthcare utilization. The condition is prevalent among individuals with alcohol use disorders, impacting population health through increased rates of hospitalization and the need for ongoing medical care. Quality measures may focus on the management of alcohol use and the prevention of gastritis-related complications, highlighting the importance of integrated care approaches.

ICD-9 vs ICD-10

Alcoholic gastritis has significant clinical implications, as it can lead to chronic gastrointestinal issues and increased healthcare utilization. The condition is prevalent among individuals with alcohol use disorders, impacting population health through increased rates of hospitalization and the need for ongoing medical care. Quality measures may focus on the management of alcohol use and the prevention of gastritis-related complications, highlighting the importance of integrated care approaches.

Reimbursement & Billing Impact

Reimbursement considerations include ensuring that the diagnosis is well-supported by clinical evidence and that any related procedures, such as endoscopy, are appropriately coded. Common denials may arise from insufficient documentation linking the diagnosis to the patient's symptoms or from coding errors. Best practices include thorough documentation of the patient's condition and treatment plan, as well as regular updates to coding guidelines to ensure compliance.

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 K29.2?

K29.2 specifically covers alcoholic gastritis, which is characterized by inflammation of the gastric mucosa due to alcohol consumption. It may present with symptoms such as abdominal pain, nausea, and vomiting, and is differentiated from other forms of gastritis by the patient's alcohol history.

When should K29.2 be used instead of related codes?

K29.2 should be used when the gastritis is specifically linked to alcohol consumption. If the gastritis is due to other causes, such as infection or medication, other codes like K29.0 or K29.1 should be utilized.

What documentation supports K29.2?

Documentation should include a detailed patient history of alcohol use, clinical symptoms, physical examination findings, and any diagnostic tests performed, such as endoscopy or biopsy results, to confirm the diagnosis of alcoholic gastritis.