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ICD-10 Guide
ICD-10 CodesK29.71

K29.71

Billable

Gastritis, unspecified, with bleeding

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

Code Description

ICD-10 K29.71 is a billable code used to indicate a diagnosis of gastritis, unspecified, with bleeding.

Key Diagnostic Point:

Gastritis, unspecified, with bleeding (K29.71) refers to inflammation of the gastric mucosa that is accompanied by bleeding, which can be acute or chronic in nature. The condition may arise from various etiologies, including but not limited to, infection (such as Helicobacter pylori), excessive alcohol consumption, prolonged use of nonsteroidal anti-inflammatory drugs (NSAIDs), or stress-related mucosal disease. Clinically, patients may present with symptoms such as epigastric pain, nausea, vomiting (which may include blood), and melena. The anatomy involved primarily includes the stomach, specifically the gastric mucosa, which is crucial for digestion and protection against pathogens. Disease progression can lead to complications such as peptic ulcers or gastric hemorrhage if not managed appropriately. Diagnostic considerations include endoscopy, which allows for direct visualization of the gastric lining, and biopsy for histological examination to rule out malignancy or confirm infection. Laboratory tests may also be employed to assess for anemia due to blood loss.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires differentiation from other gastrointestinal bleeding causes.
  • Treatment complexity: May involve medications, lifestyle changes, or surgical interventions depending on severity.
  • Documentation requirements: Must clearly indicate the presence of bleeding and underlying causes.
  • Coding specificity: Requires accurate coding to reflect the specific type of gastritis and associated complications.

Audit Risk Factors

  • Common coding errors: Misclassification of gastritis types or failure to document bleeding.
  • Documentation gaps: Incomplete clinical notes regarding the cause of gastritis or bleeding.
  • Billing challenges: Potential denials if the documentation does not support the diagnosis of gastritis with bleeding.

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

K29.71 has significant clinical implications as untreated gastritis with bleeding can lead to severe complications, including significant blood loss and the need for hospitalization. The condition affects a considerable portion of the population, particularly those with risk factors such as chronic NSAID use or alcohol abuse. Understanding and accurately coding this condition can improve patient outcomes, enhance quality measures, and optimize healthcare resource utilization.

ICD-9 vs ICD-10

K29.71 has significant clinical implications as untreated gastritis with bleeding can lead to severe complications, including significant blood loss and the need for hospitalization. The condition affects a considerable portion of the population, particularly those with risk factors such as chronic NSAID use or alcohol abuse. Understanding and accurately coding this condition can improve patient outcomes, enhance quality measures, and optimize healthcare resource utilization.

Reimbursement & Billing Impact

Reimbursement may depend on the specificity of the diagnosis and the completeness of the clinical notes. Common denials may occur if the documentation does not clearly indicate the presence of bleeding or if the underlying cause is not addressed. Best practices include ensuring that all relevant clinical findings are documented and that the coding reflects the complexity of the condition. Regular audits and training on documentation standards can 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 K29.71?

K29.71 covers unspecified gastritis that is associated with bleeding, which may be due to various causes such as infection, NSAID use, or alcohol consumption. It is important to document the underlying cause if known.

When should K29.71 be used instead of related codes?

K29.71 should be used when there is clear evidence of gastritis accompanied by bleeding. If the gastritis is not associated with bleeding, K29.70 should be selected. Accurate documentation of symptoms and diagnostic findings is essential.

What documentation supports K29.71?

Documentation should include clinical findings of gastritis, evidence of bleeding (such as hematemesis or melena), and any diagnostic tests performed. Clear notes on the patient's history and treatment plan are also necessary.