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ICD-10 Guide
ICD-10 CodesK29.51

K29.51

Billable

Unspecified chronic gastritis with bleeding

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

Code Description

ICD-10 K29.51 is a billable code used to indicate a diagnosis of unspecified chronic gastritis with bleeding.

Key Diagnostic Point:

K29.51 refers to unspecified chronic gastritis with bleeding, a condition characterized by inflammation of the gastric mucosa that persists over time and is associated with gastrointestinal bleeding. The stomach, part of the alimentary tract, is affected, leading to symptoms such as abdominal pain, nausea, vomiting, and potentially hematemesis (vomiting blood). Chronic gastritis can result from various etiologies, including chronic infection with Helicobacter pylori, prolonged use of nonsteroidal anti-inflammatory drugs (NSAIDs), excessive alcohol consumption, or autoimmune disorders. Disease progression may lead to complications such as gastric ulcers or even gastric cancer if left untreated. Diagnosis typically involves endoscopic examination, biopsy, and laboratory tests to identify underlying causes. Clinicians must consider the patient's history, presenting symptoms, and risk factors when diagnosing and managing this condition, as timely intervention is crucial to prevent severe complications associated with gastrointestinal bleeding.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires thorough evaluation to determine underlying causes and rule out other gastrointestinal disorders.
  • Treatment complexity: Management may involve medications, lifestyle changes, and possibly surgical intervention in severe cases.
  • Documentation requirements: Detailed clinical documentation is necessary to support the diagnosis and treatment plan.
  • Coding specificity: Requires accurate coding to differentiate from other gastritis types and gastrointestinal conditions.

Audit Risk Factors

  • Common coding errors: Misclassification of gastritis types or failure to document bleeding.
  • Documentation gaps: Incomplete patient history or lack of supporting evidence for chronicity and bleeding.
  • Billing challenges: Potential denials due to insufficient documentation or incorrect code selection.

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

Primary Care

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 gastritis with bleeding has significant clinical implications, as it can lead to severe complications such as anemia, perforation, or malignancy. Understanding its epidemiology is crucial, as it affects a substantial portion of the population, particularly those with risk factors like H. pylori infection or NSAID use. Quality measures related to the management of gastritis can improve patient outcomes and reduce healthcare utilization, emphasizing the importance of early diagnosis and appropriate treatment.

ICD-9 vs ICD-10

Chronic gastritis with bleeding has significant clinical implications, as it can lead to severe complications such as anemia, perforation, or malignancy. Understanding its epidemiology is crucial, as it affects a substantial portion of the population, particularly those with risk factors like H. pylori infection or NSAID use. Quality measures related to the management of gastritis can improve patient outcomes and reduce healthcare utilization, emphasizing the importance of early diagnosis and appropriate treatment.

Reimbursement & Billing Impact

Reimbursement considerations include the need for clear evidence of the condition and its complications. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity for procedures such as endoscopy. Coders should ensure that all relevant clinical information is captured in the medical record to support the use of this code and related procedures, adhering to payer-specific guidelines for optimal 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 K29.51?

K29.51 encompasses chronic gastritis that is unspecified but includes the presence of gastrointestinal bleeding. It may be associated with various underlying conditions such as H. pylori infection, NSAID use, or autoimmune gastritis.

When should K29.51 be used instead of related codes?

K29.51 should be used when chronic gastritis is diagnosed with documented bleeding, distinguishing it from codes for gastritis without bleeding or acute gastritis.

What documentation supports K29.51?

Documentation must include clinical findings, patient history indicating chronic gastritis, evidence of bleeding (e.g., lab results, endoscopy findings), and treatment plans that reflect the severity of the condition.