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ICD-10 Guide
ICD-10 CodesK29.5

K29.5

Non-billable

Unspecified chronic gastritis

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

Code Description

ICD-10 K29.5 is a used to indicate a diagnosis of unspecified chronic gastritis.

Key Diagnostic Point:

Unspecified chronic gastritis is a condition characterized by the inflammation of the gastric mucosa that persists over a prolonged period. Clinically, patients may present with symptoms such as abdominal pain, nausea, vomiting, and dyspepsia. The anatomy involved primarily includes the stomach, where the gastric lining becomes inflamed, potentially leading to complications such as gastric ulcers or atrophy if left untreated. Disease progression can vary; some patients may experience intermittent symptoms, while others may have persistent discomfort. Diagnostic considerations include a thorough patient history, physical examination, and possibly endoscopy with biopsy to rule out other conditions such as peptic ulcer disease or gastric cancer. Laboratory tests may also be conducted to assess for H. pylori infection, which is a common underlying cause of chronic gastritis. Accurate diagnosis is essential for effective management and treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires differentiation from other gastrointestinal disorders.
  • Treatment complexity: May involve lifestyle changes, medications, and monitoring.
  • Documentation requirements: Detailed clinical notes and diagnostic tests are necessary.
  • Coding specificity: Limited specificity may lead to challenges in capturing the exact nature of the condition.

Audit Risk Factors

  • Common coding errors: Misclassification with acute gastritis codes.
  • Documentation gaps: Insufficient detail in clinical notes may lead to denials.
  • Billing challenges: Lack of specificity can result in lower reimbursement rates.

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

Primary Care

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

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Chronic gastritis, including unspecified forms, has significant clinical implications, affecting patient quality of life and healthcare utilization. It can lead to complications such as peptic ulcers and gastric cancer if not managed appropriately. Understanding the epidemiology of chronic gastritis is essential for public health, as it can be influenced by dietary factors, H. pylori prevalence, and access to healthcare. Quality measures may include monitoring treatment efficacy and patient adherence to lifestyle modifications.

ICD-9 vs ICD-10

Chronic gastritis, including unspecified forms, has significant clinical implications, affecting patient quality of life and healthcare utilization. It can lead to complications such as peptic ulcers and gastric cancer if not managed appropriately. Understanding the epidemiology of chronic gastritis is essential for public health, as it can be influenced by dietary factors, H. pylori prevalence, and access to healthcare. Quality measures may include monitoring treatment efficacy and patient adherence to lifestyle modifications.

Reimbursement & Billing Impact

reimbursement. Familiarity with payer-specific guidelines can also help mitigate billing challenges.

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 K29.5?

K29.5 covers unspecified chronic gastritis, which may include various forms of chronic inflammation of the gastric mucosa without specific identification of the underlying cause, such as autoimmune gastritis or gastritis due to H. pylori infection.

When should K29.5 be used instead of related codes?

K29.5 should be used when the chronic gastritis is diagnosed but the specific type or cause is not identified. If a more specific diagnosis is available, such as chronic atrophic gastritis (K29.4), that code should be used.

What documentation supports K29.5?

Documentation should include a comprehensive patient history, physical examination findings, results from diagnostic tests such as endoscopy or biopsy, and any treatment plans or responses to therapy.