Chronic atrophic gastritis without bleeding
ICD-10 K29.40 is a billable code used to indicate a diagnosis of chronic atrophic gastritis without bleeding.
Chronic atrophic gastritis without bleeding is a long-term inflammatory condition affecting the gastric mucosa, characterized by the loss of gastric glandular cells and replacement with intestinal-type epithelium. Clinically, patients may present with symptoms such as abdominal discomfort, nausea, and dyspepsia, although some may remain asymptomatic. The condition is often associated with autoimmune disorders, chronic infection with Helicobacter pylori, or prolonged use of nonsteroidal anti-inflammatory drugs (NSAIDs). The anatomy involved includes the stomach, particularly the gastric mucosa, which undergoes atrophy leading to decreased acid production and impaired digestion. Disease progression can lead to complications such as gastric ulcers or even gastric cancer if left untreated. Diagnostic considerations include endoscopy with biopsy to confirm atrophic changes and rule out malignancy, along with serological tests for H. pylori and autoimmune markers. Regular monitoring and management are essential to prevent complications and improve patient outcomes.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
K29.40 specifically covers chronic atrophic gastritis without any associated bleeding. It is characterized by chronic inflammation and atrophy of the gastric mucosa, which can be due to various etiologies including autoimmune conditions and chronic infections.
K29.40 should be used when there is a confirmed diagnosis of chronic atrophic gastritis without any evidence of bleeding. If bleeding is present, K29.41 should be utilized. Accurate diagnosis through endoscopy and biopsy is crucial for appropriate code selection.
Documentation for K29.40 should include a detailed clinical history, results from endoscopic examinations, biopsy findings indicating atrophy, and any relevant laboratory tests. It is essential to document the absence of bleeding to justify the use of this specific code.
