2025 ICD-10-CM code K29.5
(Active) Effective Date: N/A Revision Date: N/A Diseases of the digestive system - Gastritis and duodenitis Diseases of the digestive system Feed
Unspecified chronic gastritis.
Modifiers may be applicable depending on the circumstances of the encounter and the services provided.
Medical necessity for K29.5 is established by the presence of persistent gastrointestinal symptoms suggestive of chronic gastritis. Diagnostic procedures like endoscopy with biopsy are medically necessary to confirm the diagnosis and rule out other conditions. Treatment decisions are based on the severity of symptoms and potential complications.
Gastroenterologists or primary care physicians are typically responsible for diagnosing and managing chronic gastritis. The clinical responsibility includes performing a thorough history and physical examination, ordering appropriate diagnostic tests (such as endoscopy with biopsy), and determining the appropriate treatment plan based on the patient's symptoms and the severity of the inflammation.
In simple words: This code means you have long-term inflammation of your stomach lining, but the doctors haven't specified the exact type of inflammation.
K29.5, Unspecified chronic gastritis, is an ICD-10-CM code representing chronic inflammation of the stomach lining without specification of the type of gastritis.This encompasses various forms of chronic gastritis where the specific type (e.g., atrophic, antral, fundal) is not documented or known. It includes cases of chronic inflammation affecting the stomach's lining in an unspecified manner. This diagnosis requires confirmation through clinical investigation, including endoscopy and histological examination.
Example 1: A 55-year-old patient presents with persistent epigastric pain, nausea, and loss of appetite.Endoscopy reveals chronic gastritis, but the specific type cannot be determined from the biopsy.Code K29.5 is assigned., A 40-year-old patient with a history of Helicobacter pylori infection undergoes endoscopy, which shows chronic inflammation of the stomach lining.The type of gastritis remains unspecified. Code K29.5 is assigned pending further investigations., A 60-year-old patient with long-standing dyspepsia and anemia undergoes an endoscopy showing chronic gastritis, but the biopsy findings are insufficient to classify the specific type of inflammation.Code K29.5 is used in this case.
Complete history and physical examination, including detailed description of symptoms.Endoscopy report with histological examination results (even if inconclusive).Any relevant laboratory findings (e.g., H. pylori testing, complete blood count).
** K29.5 should be used only when the specific type of chronic gastritis cannot be determined.Further investigation may be warranted to clarify the diagnosis and assign a more specific code.
- Payment Status: Active
- Specialties:Gastroenterology, Internal Medicine, Family Medicine
- Place of Service:Office, Hospital Inpatient, Hospital Outpatient, Ambulatory Surgical Center