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ICD-10 Guide
ICD-10 CodesK29.20

K29.20

Billable

Alcoholic gastritis without bleeding

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

Code Description

ICD-10 K29.20 is a billable code used to indicate a diagnosis of alcoholic gastritis without bleeding.

Key Diagnostic Point:

Alcoholic gastritis without bleeding is characterized by inflammation of the gastric mucosa due to excessive alcohol consumption. Clinically, patients may present with symptoms such as abdominal pain, nausea, vomiting, and dyspepsia. The anatomy involved primarily includes the stomach, particularly the gastric lining, which becomes inflamed and irritated 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 possibly 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 liver function, as chronic alcohol use can lead to liver disease, which may complicate the clinical picture.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity
  • Treatment complexity
  • Documentation requirements
  • Coding specificity

Audit Risk Factors

  • Common coding errors include misclassification with other types of gastritis.
  • Documentation gaps may arise if the patient's alcohol use is not adequately recorded.
  • Billing challenges can occur if the condition is not clearly linked to the patient's alcohol consumption.

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

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

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Alcoholic gastritis has significant clinical implications, particularly in populations with high alcohol consumption. It can lead to increased healthcare utilization due to complications such as hospitalization for severe gastritis or related conditions. Understanding the epidemiology of alcoholic gastritis is crucial for developing public health strategies aimed at reducing alcohol-related disorders and improving overall gastrointestinal health.

ICD-9 vs ICD-10

Alcoholic gastritis has significant clinical implications, particularly in populations with high alcohol consumption. It can lead to increased healthcare utilization due to complications such as hospitalization for severe gastritis or related conditions. Understanding the epidemiology of alcoholic gastritis is crucial for developing public health strategies aimed at reducing alcohol-related disorders and improving overall gastrointestinal health.

Reimbursement & Billing Impact

Reimbursement considerations include ensuring that the diagnosis is clearly linked to the patient's treatment plan. Common denials may arise if there is insufficient documentation to support the diagnosis or if the relationship between alcohol use and gastritis is not clearly established. Coding best practices recommend using specific codes to reflect the patient's condition accurately and to avoid general codes that may lead to billing issues.

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 K29.20?

K29.20 specifically covers alcoholic gastritis characterized by inflammation of the gastric mucosa due to alcohol consumption, without any associated bleeding. It is important to differentiate it from other forms of gastritis and related gastrointestinal disorders.

When should K29.20 be used instead of related codes?

K29.20 should be used when the patient presents with gastritis symptoms directly attributable to alcohol use, and there is no evidence of bleeding. If bleeding is present, K29.21 should be selected instead.

What documentation supports K29.20?

Documentation should include a detailed history of alcohol consumption, clinical symptoms, and any diagnostic tests performed, such as endoscopy findings or biopsy results that confirm gastritis without bleeding.