2025 ICD-10-CM code K29.8
Duodenitis. Inflammation of the duodenum (first part of the small intestine).
No modifiers are applicable to ICD-10-CM diagnosis codes.
Medical necessity for services related to duodenitis should be supported by documentation of signs, symptoms, and diagnostic findings consistent with the condition.The documentation should also indicate the severity of the condition and its impact on the patient's function and quality of life. Treatment should be directed towards alleviating symptoms, addressing the underlying cause, and preventing complications.
Clinicians responsible for diagnosing and managing duodenitis include gastroenterologists, primary care physicians, and internists.They perform physical exams, review patient history, and may order diagnostic tests like upper endoscopy, biopsies, and blood tests to confirm the diagnosis and identify the underlying cause. Treatment strategies vary depending on the etiology but often involve lifestyle modifications, medications to reduce acid production or treat infections, and management of any underlying conditions like GERD.
In simple words: Duodenitis is when the first part of your small intestine, called the duodenum, gets inflamed or swollen. This can happen for different reasons, like an infection, drinking too much alcohol, or taking certain medications.Sometimes, you might not feel anything, but other times it can cause stomach pain, nausea, or vomiting.
Inflammation of the duodenum, the first part of the small intestine that connects to the stomach. This can be caused by a variety of factors, including infections (bacterial or viral), alcohol use, certain medications, stress, and gastroesophageal reflux disease (GERD). Symptoms can range from none at all to nausea, vomiting, and abdominal pain.In severe cases, erosive duodenitis can lead to bleeding in the upper gastrointestinal tract and peptic ulcers.
Example 1: A 45-year-old patient presents with recurrent upper abdominal pain, nausea, and bloating. An upper endoscopy reveals inflammation and erythema in the duodenum, confirming a diagnosis of duodenitis. The patient’s history reveals frequent use of nonsteroidal anti-inflammatory drugs (NSAIDs), which are likely contributing to the inflammation., A young adult with a history of heavy alcohol consumption experiences severe vomiting and abdominal pain.Diagnostic testing shows inflammation and erosion of the duodenal lining, indicating erosive duodenitis caused by alcohol. , A patient with poorly controlled GERD develops persistent upper abdominal discomfort. An endoscopy confirms duodenitis related to the chronic reflux of stomach acid into the duodenum.
Documentation for K29.8 should include details of the patient's presenting symptoms (e.g., abdominal pain, nausea, vomiting), relevant medical history (e.g., alcohol use, medication use, history of GERD), findings from physical examination, and results of any diagnostic tests performed (e.g., endoscopy, biopsy). The documentation should clearly establish the diagnosis of duodenitis and, if possible, identify the underlying cause.
- Payment Status: Active
- Specialties:Gastroenterology, Internal Medicine, Family Medicine
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Off Campus-Outpatient Hospital, Office, Ambulatory Surgical Center, Telehealth Provided in Patient’s Home, Telehealth Provided Other than in Patient’s Home