2025 ICD-10-CM code K29.40
(Active) Effective Date: N/A Diseases of esophagus, stomach and duodenum - Chronic atrophic gastritis Diseases of the digestive system (K00-K95) Feed
Chronic atrophic gastritis without bleeding.
Medical necessity for diagnostic testing and treatment is established by the presence of signs, symptoms, or risk factors for chronic atrophic gastritis.Ongoing surveillance may be medically necessary for patients with confirmed chronic atrophic gastritis due to the increased risk of gastric cancer.
Diagnosis and management of chronic atrophic gastritis falls under gastroenterologists or primary care physicians.They are responsible for ordering appropriate diagnostic tests, such as endoscopy with biopsy, to confirm the diagnosis and rule out other conditions.They also manage the patient's symptoms and potential complications, such as vitamin B12 deficiency and increased risk of gastric cancer.
In simple words: This code refers to a long-term inflammation in your stomach that has caused the stomach lining to thin out.It is called atrophic gastritis, and it is not currently causing any bleeding.
Chronic atrophic gastritis is a long-lasting condition characterized by the thinning of the stomach lining due to inflammation, specifically marked by atrophy of the glands.This code specifies that there is no active bleeding associated with the condition.
Example 1: A 65-year-old patient presents with fatigue, loss of appetite, and abdominal discomfort. After a thorough evaluation including upper endoscopy and biopsy, the diagnosis of chronic atrophic gastritis without bleeding is confirmed., A patient with a history of H. pylori infection is found to have chronic atrophic gastritis during a routine surveillance endoscopy. The patient is asymptomatic but requires ongoing monitoring for potential complications., A patient with pernicious anemia and a positive intrinsic factor antibody test is diagnosed with autoimmune atrophic gastritis, which is a specific type of chronic atrophic gastritis.
Documentation should include relevant signs and symptoms, medical history (including H. pylori infection status), diagnostic test results (e.g., endoscopy, biopsy, blood tests), and any associated complications like B12 deficiency or anemia.
- Specialties:Gastroenterology, Internal Medicine, Family Medicine
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Off Campus-Outpatient Hospital, Office, Ambulatory Surgical Center