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ICD-10 Guide
ICD-10 CodesK29.81

K29.81

Billable

Duodenitis with bleeding

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

Code Description

ICD-10 K29.81 is a billable code used to indicate a diagnosis of duodenitis with bleeding.

Key Diagnostic Point:

Duodenitis with bleeding is an inflammatory condition affecting the duodenum, the first section of the small intestine. It can result from various etiologies, including infections (such as Helicobacter pylori), excessive alcohol consumption, nonsteroidal anti-inflammatory drugs (NSAIDs), or autoimmune disorders. Clinically, patients may present with abdominal pain, nausea, vomiting, and gastrointestinal bleeding, which can manifest as melena or hematemesis. The anatomy involved includes the duodenum, which connects the stomach to the jejunum and plays a crucial role in digestion and nutrient absorption. Disease progression can lead to complications such as peptic ulcers or chronic gastrointestinal bleeding if left untreated. Diagnostic considerations include endoscopy for direct visualization, biopsy for histological examination, and imaging studies to rule out other gastrointestinal conditions. Laboratory tests may also be performed to assess for anemia or infection. Early diagnosis and management are essential to prevent serious complications and improve patient outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

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

Audit Risk Factors

  • Common coding errors
  • Documentation gaps
  • Billing challenges

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

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical significance of K29.81 lies in its potential to lead to serious complications if not managed promptly. It affects a significant portion of the population, particularly those with risk factors such as NSAID use or H. pylori infection. Understanding the epidemiology of duodenitis with bleeding is crucial for healthcare providers to implement preventive measures and improve patient outcomes. Quality measures related to timely diagnosis and treatment can enhance healthcare utilization patterns and reduce hospital admissions.

ICD-9 vs ICD-10

The clinical significance of K29.81 lies in its potential to lead to serious complications if not managed promptly. It affects a significant portion of the population, particularly those with risk factors such as NSAID use or H. pylori infection. Understanding the epidemiology of duodenitis with bleeding is crucial for healthcare providers to implement preventive measures and improve patient outcomes. Quality measures related to timely diagnosis and treatment can enhance healthcare utilization patterns and reduce hospital admissions.

Reimbursement & Billing Impact

Reimbursement considerations include the medical necessity of the procedure and the severity of the condition. Common denials may arise from insufficient documentation or failure to demonstrate the necessity of the procedure. Coders should ensure that all clinical findings and treatment plans are clearly documented to support the diagnosis and facilitate appropriate reimbursement.

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 K29.81?

K29.81 specifically covers duodenitis that is accompanied by gastrointestinal bleeding. This includes cases where the bleeding is due to ulceration or erosion of the duodenal mucosa, often necessitating urgent medical intervention.

When should K29.81 be used instead of related codes?

K29.81 should be used when there is clear documentation of duodenitis with associated bleeding. If the condition is present without bleeding, K29.80 should be selected. Accurate differentiation is crucial for proper treatment and reimbursement.

What documentation supports K29.81?

Documentation for K29.81 should include clinical findings of duodenitis, evidence of bleeding (such as lab results indicating anemia or endoscopic findings), and treatment plans. Detailed notes on the patient's history and any relevant imaging or lab results are essential.