2025 ICD-10-CM code K29.4
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of esophagus, stomach and duodenum - Chronic atrophic gastritis Diseases of the digestive system Feed
Chronic atrophic gastritis; gastric atrophy.
Medical necessity for the diagnosis and management of chronic atrophic gastritis is established by the presence of symptoms suggestive of the condition, abnormal laboratory findings (e.g., anemia, low vitamin B12 levels), or endoscopic findings consistent with the diagnosis.The potential for complications such as pernicious anemia and gastric cancer justify the need for appropriate investigations and management.
Gastroenterologists and primary care physicians are primarily responsible for the diagnosis and management of chronic atrophic gastritis.This includes obtaining a thorough history, performing a physical examination, ordering appropriate laboratory tests (e.g., complete blood count, serum gastrin levels, vitamin B12 levels), and recommending endoscopic procedures (e.g., upper endoscopy with biopsy) when necessary. Treatment may involve addressing nutritional deficiencies (e.g., vitamin B12 supplementation) and managing associated symptoms.
In simple words: Chronic atrophic gastritis is a long-term condition where the stomach lining slowly loses its ability to produce important substances. This can lead to problems like anemia and an increased risk of stomach cancer.Some people have no symptoms, while others might experience stomach pain, indigestion, or nausea.
Chronic atrophic gastritis, also known as gastric atrophy, is a chronic inflammatory condition characterized by the progressive loss of the stomach's glandular cells. This leads to decreased production of gastric acid and intrinsic factor, potentially resulting in pernicious anemia and increased risk of gastric cancer.The condition is often asymptomatic but can manifest with symptoms such as abdominal pain, dyspepsia, nausea, vomiting, and weight loss.Diagnosis involves endoscopy with biopsy and assessment of serum gastrin levels.
Example 1: A 65-year-old female presents with complaints of intermittent abdominal pain, fatigue, and weight loss over the past six months.Laboratory tests reveal hypochromic microcytic anemia and low vitamin B12 levels. Upper endoscopy with biopsy confirms the diagnosis of chronic atrophic gastritis., A 70-year-old male undergoes routine upper endoscopy for dyspepsia.Biopsies reveal chronic atrophic gastritis with intestinal metaplasia.Further surveillance is recommended to monitor for the development of gastric cancer., A 50-year-old female with a history of pernicious anemia is found to have chronic atrophic gastritis during a routine blood test check. Vitamin B12 supplementation is initiated.
Detailed patient history including symptoms (abdominal pain, dyspepsia, nausea, vomiting, weight loss, fatigue), physical examination findings, relevant laboratory test results (complete blood count, serum gastrin levels, vitamin B12 levels, etc.), endoscopic findings (upper endoscopy with biopsy), histopathological report of the biopsy specimen, and any imaging studies (if performed).Documentation should clearly justify the diagnosis and any treatment plan.
** This code is used for chronic atrophic gastritis.It is important to differentiate this from other forms of gastritis and to document the presence or absence of associated symptoms and complications.
- Payment Status: Active
- Specialties:Gastroenterology, Internal Medicine
- Place of Service:Office, Hospital (Inpatient and Outpatient), Ambulatory Surgical Center