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2025 ICD-10-CM code K29.01

Acute gastritis with bleeding.

Appropriate ICD-10-CM coding guidelines should be followed. Ensure all relevant diagnoses and procedures are documented and appropriately coded.

Medical necessity for managing acute gastritis with bleeding is established based on the presence of symptoms (pain, bleeding), laboratory evidence of bleeding, and the potential for severe complications such as anemia, hypovolemic shock, and recurrent bleeding.The chosen treatment, whether conservative management or invasive procedures, must be appropriate for the severity of the condition and be medically necessary to improve the patient's condition.

The clinical responsibility for managing acute gastritis with bleeding would fall on a gastroenterologist or a general practitioner depending on the severity and complexity of the case.Their duties include diagnosis, determining the cause, managing symptoms, and potentially performing endoscopic procedures to stop bleeding or address underlying conditions.

IMPORTANT:K29.0 Excludes1: erosion (acute) of stomach (K25.-).Use additional code to identify alcohol abuse and dependence (F10.-)

In simple words: Acute gastritis with bleeding means the stomach lining is inflamed and bleeding.This can be mild or serious and has many possible causes.

Acute gastritis with bleeding is an inflammation of the stomach lining accompanied by bleeding.This condition can range in severity from mild to severe, and may be caused by various factors such as alcohol abuse, certain medications, or infections.

Example 1: A 45-year-old male presents with severe epigastric pain, hematemesis (vomiting blood), and melena (dark, tarry stools). Endoscopy reveals acute gastritis with significant bleeding from an ulcer.He is admitted for intravenous fluid resuscitation and endoscopic hemostasis., A 60-year-old female with a history of alcohol abuse is found to have mild acute gastritis with occult bleeding during a routine check-up. She is advised to abstain from alcohol, and her condition is managed with medication and close monitoring., A 22-year-old patient with recent NSAID use develops acute gastritis with mild bleeding.Endoscopy confirms the diagnosis. Medication adjustments and lifestyle modifications are implemented to stop the bleeding and resolve the inflammation.

Detailed patient history including alcohol consumption, medication use (especially NSAIDs and aspirin), and any recent infections;physical exam findings; complete blood count (CBC) to assess for anemia; stool guaiac test (or fecal occult blood test); endoscopy report with images if performed;management plan and follow-up instructions.

** Further investigations may be needed to determine the underlying cause of the gastritis.The severity of the bleeding will influence the treatment approach and level of care required.

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