Learn about unspecified gastritis, including clinical documentation tips, ICD-10 code K29.9, and common symptoms. Find information on diagnosis, healthcare provider resources, and medical coding guidelines for gastritis not otherwise specified (NOS). Explore differential diagnoses and best practices for accurate medical record keeping related to unspecified inflammation of the stomach lining.
Also known as
Gastritis, unspecified
Inflammation of the stomach lining without specific cause.
Gastritis and duodenitis
Covers various inflammatory conditions of the stomach and duodenum.
Diseases of the digestive system
Encompasses a wide range of digestive disorders including gastritis.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the gastritis acute or chronic?
Acute
Is there documented hemorrhage?
Chronic
Is there documented hemorrhage?
Unspecified
Code as K29.9 Gastritis, unspecified
When to use each related code
Description |
---|
Unspecified Gastritis |
Acute Gastritis |
Chronic Gastritis |
Coding K29.9 lacks specificity, impacting reimbursement and quality metrics. CDI should query for details like acute/chronic, erosive/non-erosive.
Gastritis often coexists with H. pylori, NSAID use, or alcohol abuse. Accurate coding ensures proper risk adjustment and care planning.
Unspecified gastritis may lack supporting documentation. Audits may flag K29.9 if clinical findings dont justify the diagnosis.
Patient presents with complaints consistent with gastritis, characterized by [Symptom 1 e.g., epigastric pain], [Symptom 2 e.g., nausea], and [Symptom 3 e.g., dyspepsia]. Onset of symptoms occurred [Timeframe e.g., two weeks ago] and is described as [Character of symptoms e.g., intermittent, burning]. Patient denies [Pertinent negative symptom 1 e.g., hematemesis], [Pertinent negative symptom 2 e.g., melena], and [Pertinent negative symptom 3 e.g., weight loss]. Physical examination reveals [Relevant positive finding e.g., mild epigastric tenderness on palpation] with no other significant findings. Differential diagnosis includes peptic ulcer disease, gastroesophageal reflux disease (GERD), and functional dyspepsia. However, given the clinical presentation and absence of alarm symptoms, a working diagnosis of unspecified gastritis is made. Laboratory studies, including [Test 1 e.g., complete blood count (CBC)] and [Test 2 e.g., comprehensive metabolic panel (CMP)], were ordered to rule out other potential causes and assess overall health status. H. pylori testing is considered to determine the need for eradication therapy. Initial treatment plan includes lifestyle modifications such as dietary adjustments (avoiding spicy foods, caffeine, and alcohol) and promoting stress reduction techniques. Pharmacological management may include [Medication class 1 e.g., antacids] and [Medication class 2 e.g., H2 blockers] for symptomatic relief. Patient education regarding gastritis symptoms, management, and potential complications was provided. Follow-up scheduled in [Timeframe e.g., two weeks] to assess response to treatment and further investigate if symptoms persist or worsen. ICD-10 code K29.9 (Gastritis, unspecified) is assigned.