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ICD-10 Guide
ICD-10 CodesK29.61

K29.61

Billable

Other gastritis with bleeding

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

Code Description

ICD-10 K29.61 is a billable code used to indicate a diagnosis of other gastritis with bleeding.

Key Diagnostic Point:

K29.61 refers to 'Other gastritis with bleeding,' a condition characterized by inflammation of the gastric mucosa that is accompanied by bleeding. The clinical presentation may include symptoms such as abdominal pain, nausea, vomiting (which may contain blood), and melena (black, tarry stools). The anatomy involved primarily includes the stomach, particularly the gastric mucosa, which can become inflamed due to various factors such as infection (e.g., Helicobacter pylori), excessive alcohol consumption, nonsteroidal anti-inflammatory drugs (NSAIDs), or autoimmune disorders. Disease progression can lead to complications such as peptic ulcers or gastric perforation if left untreated. Diagnostic considerations for K29.61 include endoscopy to visualize the gastric lining, biopsies to rule out malignancy, and laboratory tests to assess for anemia or infection. Accurate diagnosis is crucial for effective management and treatment, which may involve medications to reduce stomach acid, antibiotics for infections, or lifestyle modifications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires thorough evaluation and possibly endoscopic procedures.
  • Treatment complexity: May involve multiple treatment modalities including medications and lifestyle changes.
  • Documentation requirements: Detailed clinical documentation is necessary to support the diagnosis and treatment plan.
  • Coding specificity: Requires precise coding to differentiate from other types of gastritis and gastrointestinal bleeding.

Audit Risk Factors

  • Common coding errors: Misclassification of gastritis types or failure to document bleeding.
  • Documentation gaps: Incomplete clinical notes that do not specify the cause or severity of gastritis.
  • Billing challenges: Potential denials if documentation does not clearly support the diagnosis of gastritis with bleeding.

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

K29.61 has significant clinical implications as it indicates a potentially serious condition that may lead to complications such as anemia or perforation if not managed appropriately. The population health impact includes increased healthcare utilization due to emergency visits and hospitalizations related to gastrointestinal bleeding. Quality measures may focus on timely diagnosis and treatment of gastritis with bleeding to prevent adverse outcomes. Epidemiologically, the prevalence of gastritis varies, but it is a common condition that affects a substantial portion of the population, particularly among those with risk factors such as alcohol use and NSAID consumption.

ICD-9 vs ICD-10

K29.61 has significant clinical implications as it indicates a potentially serious condition that may lead to complications such as anemia or perforation if not managed appropriately. The population health impact includes increased healthcare utilization due to emergency visits and hospitalizations related to gastrointestinal bleeding. Quality measures may focus on timely diagnosis and treatment of gastritis with bleeding to prevent adverse outcomes. Epidemiologically, the prevalence of gastritis varies, but it is a common condition that affects a substantial portion of the population, particularly among those with risk factors such as alcohol use and NSAID consumption.

Reimbursement & Billing Impact

Reimbursement considerations include the necessity of justifying the use of endoscopic procedures and any associated treatments. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity. It is essential to follow coding best practices, including using the most specific code available and ensuring that all relevant clinical information is captured in the medical record.

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 K29.61?

K29.61 covers cases of gastritis that are accompanied by bleeding, which may arise from various etiologies such as infections, NSAID use, or alcohol-related damage. It is important to differentiate this from other gastritis codes that do not specify bleeding.

When should K29.61 be used instead of related codes?

K29.61 should be used when there is clear evidence of gastritis with bleeding, as indicated by clinical symptoms or diagnostic findings. If bleeding is not present, other codes such as K29.60 should be considered.

What documentation supports K29.61?

Documentation should include clinical findings such as symptoms of bleeding, results from endoscopic examinations, and any relevant laboratory tests that confirm the diagnosis of gastritis with bleeding.