ICD Code K29.70

ICD code K29.70 is used to classify a diagnosis of gastritis that is unspecified and occurs without any associated bleeding. Gastritis refers to the inflammation of the stomach lining, and this particular code indicates that the specific cause or type of gastritis has not been determined or documented, but it is clear that bleeding is not present. This code is essential for healthcare providers to accurately document and communicate the patient's condition for treatment planning and billing purposes.

1. Epigastric Pain: Persistent or recurrent pain in the upper abdomen, often described as burning or gnawing, which may worsen with eating or on an empty stomach.

2. Nausea and Vomiting: Frequent episodes of nausea, with or without vomiting, that are not attributable to other gastrointestinal conditions.

3. Bloating and Indigestion: Sensation of fullness or bloating in the upper abdomen, often accompanied by indigestion or dyspepsia.

4. Loss of Appetite: A noticeable decrease in appetite, potentially leading to unintended weight loss.

5. Belching: Frequent belching or burping, which may provide temporary relief from discomfort.

6. Hiccups: Persistent or recurrent hiccups that are not explained by other causes.

7. Absence of Bleeding: No evidence of gastrointestinal bleeding, such as hematemesis (vomiting blood) or melena (black, tarry stools).

8. Normal Endoscopic Findings: Endoscopy may show inflammation of the stomach lining, but without any specific lesions or bleeding.

9. Exclusion of Other Conditions: Other potential causes of the symptoms, such as peptic ulcer disease, gallbladder disease, or pancreatitis, have been ruled out through appropriate diagnostic testing.

10. Chronic or Recurrent Symptoms: Symptoms have been present for a prolonged period or recur frequently, impacting the patient's quality of life.

For the ICD code K29.70 (Gastritis, unspecified, without bleeding), the relevant CPT codes that may be applicable for treatment and diagnostic procedures 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 91035 - Esophageal pH monitoring, prolonged (greater than 1 hour) with or without mucosal attached telemetry pH electrode(s).

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

5. CPT 88305 - Level IV - Surgical pathology, gross and microscopic examination (for biopsy specimens obtained during EGD).

These CPT codes are commonly used for diagnostic and therapeutic procedures related to the management of gastritis and associated symptoms. It's important for healthcare providers to select the appropriate CPT code based on the specific procedures performed and the clinical context.

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