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ICD-10 Guide
ICD-10 CodesK29.80

K29.80

Billable

Duodenitis without bleeding

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

Code Description

ICD-10 K29.80 is a billable code used to indicate a diagnosis of duodenitis without bleeding.

Key Diagnostic Point:

Duodenitis without bleeding refers to inflammation of the duodenum, the first part of the small intestine, which is crucial for digestion. Clinically, patients may present with symptoms such as abdominal pain, nausea, vomiting, and bloating. The duodenum plays a vital role in the digestive process by receiving chyme from the stomach and bile from the liver, which aids in the emulsification of fats. Disease progression can vary; acute duodenitis may resolve quickly with treatment, while chronic inflammation can lead to complications such as peptic ulcers or malabsorption syndromes. Diagnostic considerations include endoscopy, which allows direct visualization of the duodenum, and biopsy to rule out other conditions such as celiac disease or malignancy. Laboratory tests may also be performed to assess for H. pylori infection, a common cause of duodenitis. Accurate diagnosis is essential for effective management, which may include dietary modifications, medications to reduce stomach acid, and treating any underlying infections.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires endoscopic evaluation and potential biopsy.
  • Treatment complexity: May involve multiple therapeutic approaches including medication and lifestyle changes.
  • Documentation requirements: Detailed clinical notes and diagnostic tests are necessary.
  • Coding specificity: Requires precise coding to differentiate from other gastrointestinal disorders.

Audit Risk Factors

  • Common coding errors: Misclassification with other gastrointestinal conditions.
  • Documentation gaps: Incomplete clinical notes or lack of diagnostic evidence.
  • Billing challenges: Potential denials due to insufficient documentation or incorrect code selection.

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

Duodenitis without bleeding has significant clinical implications, as it can affect patient quality of life and lead to further gastrointestinal complications if left untreated. Understanding the epidemiology of duodenitis can help healthcare providers identify at-risk populations and implement preventive measures. Effective management of this condition can reduce healthcare utilization and improve overall population health outcomes.

ICD-9 vs ICD-10

Duodenitis without bleeding has significant clinical implications, as it can affect patient quality of life and lead to further gastrointestinal complications if left untreated. Understanding the epidemiology of duodenitis can help healthcare providers identify at-risk populations and implement preventive measures. Effective management of this condition can reduce healthcare utilization and improve overall population health outcomes.

Reimbursement & Billing Impact

reimbursement considerations include the necessity of endoscopic procedures and the potential need for follow-up visits. It is crucial to use the correct CPT codes that correspond with the services provided to ensure proper reimbursement. Familiarity with payer-specific guidelines 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 K29.80?

K29.80 specifically covers cases of duodenitis that do not involve bleeding. This includes acute and chronic inflammation of the duodenum, which may arise from various etiologies such as infections, medications, or autoimmune conditions.

When should K29.80 be used instead of related codes?

K29.80 should be used when the diagnosis of duodenitis is confirmed without any evidence of bleeding. If there is bleeding, K29.81 should be used instead. Proper documentation of symptoms and diagnostic findings is essential for accurate code selection.

What documentation supports K29.80?

Documentation should include clinical notes detailing the patient's symptoms, results from endoscopic evaluations, biopsy results if performed, and any relevant laboratory tests. Clear evidence of the absence of bleeding is critical.