ICD Code K29.60

ICD code K29.60 is a classification used to identify cases of gastritis, which is an inflammation of the stomach lining, that do not involve bleeding. This code is utilized by healthcare providers to document and communicate the diagnosis of gastritis when there is no evidence of bleeding, aiding in accurate medical record-keeping and billing processes.

1. Chronic Gastritis Symptoms: Use this code when a patient presents with chronic symptoms such as persistent stomach pain, nausea, or vomiting that are indicative of gastritis but without any evidence of bleeding.

2. Endoscopic Findings: If an endoscopy reveals inflammation of the stomach lining without any signs of bleeding, this code is appropriate.

3. Histological Evidence: When biopsy results show inflammation of the gastric mucosa without bleeding, this code should be used.

4. Absence of Hematemesis or Melena: The patient should not exhibit symptoms of hematemesis (vomiting blood) or melena (black, tarry stools), which would indicate bleeding.

5. Exclusion of Other Gastric Conditions: Ensure that other specific gastric conditions, such as peptic ulcers or erosive gastritis, are ruled out through diagnostic testing.

6. Non-Specific Gastric Inflammation: Use this code when the gastritis is not attributable to a specific cause like infection, autoimmune disorders, or medication-induced gastritis, and bleeding is not present.

7. Recurrent Gastric Discomfort: Patients experiencing recurrent episodes of gastric discomfort without bleeding may be appropriately coded under this classification.

8. Negative for Helicobacter pylori: If tests for Helicobacter pylori infection are negative, and the gastritis is non-bleeding, this code may be applicable.

9. Absence of Systemic Symptoms: The patient should not exhibit systemic symptoms such as fever or significant weight loss that could suggest a more severe underlying condition.

10. Follow-Up and Monitoring: Use this code for ongoing monitoring and management of gastritis symptoms in patients who do not exhibit bleeding.

For the ICD code K29.60, "Other gastritis without bleeding," the relevant CPT codes that may be applicable for treatment and management include:

1. CPT 43235 - Esophagogastroduodenoscopy (EGD) diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure).

2. CPT 43239 - Esophagogastroduodenoscopy (EGD) with biopsy, single or multiple.

3. CPT 43249 - Esophagogastroduodenoscopy (EGD) with balloon dilation of esophagus (less than 30 mm diameter).

4. CPT 91035 - Esophageal pH monitoring, prolonged (greater than 1 hour) with or without impedance.

5. CPT 91010 - Esophageal motility (manometric) study.

6. CPT 91020 - Gastric motility (manometric) study.

These CPT codes are commonly associated with the diagnostic and therapeutic procedures that may be performed for patients with the condition identified by ICD code K29.60. It is important for healthcare providers to select the appropriate CPT code based on the specific services rendered during the patient's care.

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