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ICD-10 Guide
ICD-10 CodesK29.7

K29.7

Non-billable

Gastritis, unspecified

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

Code Description

ICD-10 K29.7 is a used to indicate a diagnosis of gastritis, unspecified.

Key Diagnostic Point:

Gastritis, unspecified, refers to inflammation of the gastric mucosa without a specified cause or type. Clinically, patients may present with symptoms such as abdominal pain, nausea, vomiting, and dyspepsia. The anatomy involved primarily includes the stomach, particularly the gastric lining, which can be affected by various factors including infection, irritants, or autoimmune responses. Disease progression can vary; acute gastritis may resolve quickly with appropriate treatment, while chronic gastritis can lead to more severe complications such as gastric ulcers or even gastric cancer if left untreated. Diagnostic considerations for K29.7 include a thorough patient history, physical examination, and potentially endoscopic evaluation to rule out other specific types of gastritis or gastrointestinal disorders. Laboratory tests may also be employed to identify underlying causes, such as H. pylori infection or autoimmune markers.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Moderate, as gastritis can be caused by various factors and may require differential diagnosis.
  • Treatment complexity: Moderate, as treatment may vary based on underlying causes and patient response.
  • Documentation requirements: Moderate, necessitating clear documentation of symptoms, diagnostic tests, and treatment plans.
  • Coding specificity: Low, as K29.7 is a non-specific code that does not provide detailed information about the gastritis type.

Audit Risk Factors

  • Common coding errors: Misclassification of gastritis type, leading to incorrect coding.
  • Documentation gaps: Insufficient detail in patient records regarding symptoms or diagnostic tests.
  • Billing challenges: Potential denials due to lack of specificity or supporting documentation.

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

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical significance of K29.7 lies in its potential to indicate underlying gastrointestinal issues that may affect a significant portion of the population. Gastritis can lead to increased healthcare utilization due to complications such as ulcers or gastrointestinal bleeding. Understanding the epidemiology of gastritis, including its prevalence and risk factors, is essential for improving population health outcomes and implementing effective quality measures in healthcare settings.

ICD-9 vs ICD-10

The clinical significance of K29.7 lies in its potential to indicate underlying gastrointestinal issues that may affect a significant portion of the population. Gastritis can lead to increased healthcare utilization due to complications such as ulcers or gastrointestinal bleeding. Understanding the epidemiology of gastritis, including its prevalence and risk factors, is essential for improving population health outcomes and implementing effective quality measures in healthcare settings.

Reimbursement & Billing Impact

Reimbursement considerations may vary based on the payer, so understanding the specific requirements of each insurance provider is crucial for successful claims.

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 K29.7?

K29.7 covers unspecified gastritis, which may include acute or chronic forms without specific etiological factors identified. It does not include gastritis due to known causes such as H. pylori infection or autoimmune conditions.

When should K29.7 be used instead of related codes?

K29.7 should be used when the gastritis is diagnosed but the specific type or cause is not determined. If a specific type of gastritis is identified, such as acute or chronic, the corresponding specific code should be utilized.

What documentation supports K29.7?

Documentation should include a detailed patient history, clinical findings, results from diagnostic tests, and any treatments administered. Clear notes on the absence of specific gastritis types or causes are also essential.