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ICD-10 Guide
ICD-10 CodesK29.00

K29.00

Billable

Acute gastritis without bleeding

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

Code Description

ICD-10 K29.00 is a billable code used to indicate a diagnosis of acute gastritis without bleeding.

Key Diagnostic Point:

Acute gastritis without bleeding is characterized by inflammation of the gastric mucosa, which can result from various factors including infection, irritants (such as alcohol or nonsteroidal anti-inflammatory drugs), and stress. Clinically, patients may present with symptoms such as epigastric pain, nausea, vomiting, and dyspepsia. The anatomy involved primarily includes the stomach, particularly the gastric lining. Disease progression can vary; while some patients may recover quickly with appropriate treatment, others may experience chronic gastritis if the underlying cause is not addressed. Diagnostic considerations include a thorough patient history, physical examination, and potentially endoscopic evaluation to rule out other gastrointestinal conditions. Laboratory tests may also be utilized to identify infections or other contributing factors. Accurate diagnosis is crucial to differentiate acute gastritis from other gastrointestinal disorders, such as peptic ulcers or gastroesophageal reflux disease (GERD).

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Moderate, as it requires differentiation from other gastrointestinal conditions.
  • Treatment complexity: Moderate, as treatment may involve lifestyle changes, medications, or addressing underlying causes.
  • Documentation requirements: Moderate, necessitating detailed clinical notes and symptom descriptions.
  • Coding specificity: Medium, as it requires precise coding to avoid misclassification.

Audit Risk Factors

  • Common coding errors: Misclassification with related codes or failure to document the absence of bleeding.
  • Documentation gaps: Incomplete patient history or insufficient detail on symptoms.
  • Billing challenges: Potential denials due to lack of clear documentation supporting the diagnosis.

Specialty Focus

Medical Specialties

Primary medical specialty: 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

Secondary specialty: 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

Acute gastritis without bleeding is a significant clinical condition that can affect a large portion of the population, particularly those with risk factors such as alcohol use or NSAID consumption. Understanding and managing this condition can lead to improved patient outcomes and reduced healthcare utilization. Quality measures may include monitoring the frequency of acute gastritis diagnoses and ensuring appropriate treatment pathways are followed to prevent complications.

ICD-9 vs ICD-10

Acute gastritis without bleeding is a significant clinical condition that can affect a large portion of the population, particularly those with risk factors such as alcohol use or NSAID consumption. Understanding and managing this condition can lead to improved patient outcomes and reduced healthcare utilization. Quality measures may include monitoring the frequency of acute gastritis diagnoses and ensuring appropriate treatment pathways are followed to prevent complications.

Reimbursement & Billing Impact

Reimbursement considerations include the necessity of demonstrating medical necessity for the services rendered. Common denials may arise from insufficient documentation or failure to link the diagnosis to the services billed. Best practices include ensuring that all clinical notes are detailed, including symptom onset and any treatments attempted, 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 K29.00?

K29.00 specifically covers acute gastritis without any bleeding. This includes cases caused by irritants, infections, or stress-related mucosal disease, but excludes chronic gastritis or gastritis with bleeding.

When should K29.00 be used instead of related codes?

K29.00 should be used when the patient presents with acute gastritis symptoms without any evidence of bleeding. If bleeding is present, K29.01 should be selected instead.

What documentation supports K29.00?

Documentation should include a detailed patient history, clinical findings, symptom descriptions, and any diagnostic tests performed that support the diagnosis of acute gastritis without bleeding.