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ICD-10 Guide
ICD-10 CodesK29.31

K29.31

Billable

Chronic superficial gastritis with bleeding

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

Code Description

ICD-10 K29.31 is a billable code used to indicate a diagnosis of chronic superficial gastritis with bleeding.

Key Diagnostic Point:

Chronic superficial gastritis with bleeding is characterized by inflammation of the gastric mucosa, leading to superficial lesions that can result in bleeding. Clinically, patients may present with symptoms such as epigastric pain, nausea, vomiting, and hematemesis (vomiting blood). The anatomy involved includes the stomach, particularly the gastric mucosa, which can become eroded or ulcerated due to chronic irritation from factors such as alcohol consumption, nonsteroidal anti-inflammatory drugs (NSAIDs), or Helicobacter pylori infection. Disease progression can lead to more severe complications, including gastric ulcers or even gastric cancer if left untreated. Diagnostic considerations include endoscopy to visualize the gastric lining and biopsy to assess for H. pylori infection or dysplasia. Laboratory tests may also be performed to evaluate for anemia due to chronic blood loss. Accurate diagnosis is crucial for effective management and treatment planning, which may involve proton pump inhibitors, antibiotics for H. pylori, and lifestyle modifications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires endoscopic evaluation and possible biopsy.
  • Treatment complexity: May involve multiple therapeutic approaches depending on underlying causes.
  • Documentation requirements: Detailed clinical notes and diagnostic tests must be documented.
  • Coding specificity: Requires precise coding to differentiate from other gastritis types.

Audit Risk Factors

  • Common coding errors: Misclassification of gastritis types.
  • Documentation gaps: Incomplete clinical notes regarding bleeding episodes.
  • Billing challenges: Potential denials if bleeding is not clearly documented.

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

Chronic superficial gastritis with bleeding has significant clinical implications, as it can lead to anemia and increased healthcare utilization due to hospitalizations for bleeding episodes. Understanding the epidemiology of this condition is crucial, as it affects a substantial portion of the population, particularly those with risk factors such as NSAID use and H. pylori infection. Quality measures may include monitoring treatment outcomes and patient education on lifestyle modifications to prevent recurrence.

ICD-9 vs ICD-10

Chronic superficial gastritis with bleeding has significant clinical implications, as it can lead to anemia and increased healthcare utilization due to hospitalizations for bleeding episodes. Understanding the epidemiology of this condition is crucial, as it affects a substantial portion of the population, particularly those with risk factors such as NSAID use and H. pylori infection. Quality measures may include monitoring treatment outcomes and patient education on lifestyle modifications to prevent recurrence.

Reimbursement & Billing Impact

Reimbursement considerations include the necessity of demonstrating medical necessity for diagnostic tests and treatments. Common denials may arise from insufficient documentation of bleeding or failure to provide evidence of chronicity. Best practices include ensuring that clinical notes clearly outline the patient's symptoms, diagnostic findings, and treatment plans to support the coding and billing process.

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 K29.31?

K29.31 covers chronic superficial gastritis that is specifically associated with bleeding, which may arise from various etiologies including chronic use of NSAIDs, alcohol abuse, or infection with H. pylori.

When should K29.31 be used instead of related codes?

K29.31 should be used when there is clear documentation of chronic superficial gastritis accompanied by evidence of bleeding, differentiating it from K29.30 which does not include bleeding.

What documentation supports K29.31?

Documentation should include clinical findings of gastritis, evidence of bleeding (e.g., hematemesis, melena), results from endoscopic evaluations, and any relevant laboratory tests indicating anemia or H. pylori infection.