Gastroduodenitis, unspecified, with bleeding
ICD-10 K29.91 is a billable code used to indicate a diagnosis of gastroduodenitis, unspecified, with bleeding.
Gastroduodenitis, unspecified, with bleeding, refers to inflammation of the stomach (gastritis) and the first part of the small intestine (duodenum) that is accompanied by bleeding. This condition can arise from various etiologies, including infections (such as Helicobacter pylori), excessive alcohol consumption, nonsteroidal anti-inflammatory drugs (NSAIDs), and stress-related mucosal disease. Clinically, patients may present with symptoms such as abdominal pain, nausea, vomiting, and hematemesis (vomiting blood) or melena (black, tarry stools). The anatomy involved includes the gastric mucosa and the duodenal lining, which can become eroded or ulcerated, leading to bleeding. Disease progression can vary; if untreated, it may lead to more severe gastrointestinal complications, including perforation or significant blood loss requiring hospitalization. Diagnostic considerations include endoscopy for direct visualization and biopsy, laboratory tests for H. pylori, and imaging studies to assess for complications. Accurate diagnosis is essential for effective management and treatment planning.
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
K29.91 covers unspecified gastroduodenitis with bleeding, which may include acute or chronic inflammation of the stomach and duodenum with associated hemorrhage. It does not specify the underlying cause, which could range from infections to medication-induced damage.
K29.91 should be used when there is clear documentation of gastroduodenitis accompanied by bleeding, and when more specific codes (such as those indicating the cause of the bleeding) are not applicable or available.
Documentation should include clinical findings of gastroduodenitis, evidence of bleeding (such as lab results or endoscopic findings), and a thorough history of potential causative factors. Detailed notes on treatment and patient response are also essential.
