Alcoholic gastritis with bleeding
ICD-10 K29.21 is a billable code used to indicate a diagnosis of alcoholic gastritis with bleeding.
Alcoholic gastritis with bleeding is a condition characterized by inflammation of the stomach lining due to excessive alcohol consumption, leading to erosion and ulceration. Clinically, patients may present with symptoms such as abdominal pain, nausea, vomiting (which may contain blood), and melena. The anatomy involved includes the gastric mucosa, which becomes compromised due to the toxic effects of alcohol, resulting in increased vascular permeability and bleeding. Disease progression can vary; chronic exposure to alcohol can exacerbate the condition, leading to more severe gastrointestinal bleeding and potential complications such as perforation or sepsis. Diagnostic considerations include a thorough patient history focusing on alcohol intake, physical examination, and diagnostic imaging or endoscopy to assess the extent of mucosal damage and bleeding. Laboratory tests may reveal anemia due to blood loss, and stool tests may indicate the presence of occult blood.
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
K29.21 covers alcoholic gastritis specifically associated with bleeding, which may manifest as hematemesis or melena. It is important to differentiate this from other forms of gastritis that do not involve alcohol or bleeding.
K29.21 should be used when there is clear evidence of gastritis due to alcohol consumption accompanied by bleeding. If bleeding is absent, K29.20 should be utilized instead.
Documentation should include a detailed account of the patient's alcohol consumption history, clinical symptoms, diagnostic findings (such as endoscopy results), and any laboratory tests indicating bleeding or anemia.
