ICD-10 Coding for Gastric Erosion(K25.3, K29.72)
Complete ICD-10-CM coding and documentation guide for Gastric Erosion. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Gastric Erosion
K25-K27Primary Range
Gastric ulcer and duodenal ulcer
Includes acute gastric erosions classified under gastric ulcers.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| K25.3 | Acute gastric ulcer without hemorrhage or perforation | Use for acute gastric erosions without bleeding or perforation. |
|
| K29.72 | Erosive gastropathy | Use for chronic or recurrent gastric erosions. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for gastric erosion
Essential facts and insights about Gastric Erosion
Primary ICD-10-CM Codes for gastric erosion
Decision Criteria
clinical Criteria
- Acute presentation with endoscopic confirmation
Applicable To
- Acute gastric erosion without complications
Excludes
- Chronic gastric erosion (K29.72)
Clinical Validation Requirements
- Endoscopy showing acute mucosal erosions without bleeding
- Patient history indicating acute onset
Code-Specific Risks
- Misclassification if chronicity is not assessed
Coding Notes
- Ensure documentation specifies acute nature and absence of bleeding.
K29.72 - Erosive gastropathy
Use for chronic or recurrent gastric erosions.
Applicable To
- Chronic gastric erosion
Excludes
- Acute gastric erosion (K25.3)
Clinical Validation Requirements
- Endoscopy showing chronic erosions
- Patient history indicating recurrent episodes
Coding Notes
Ensure documentation specifies chronicity and any associated factors.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Poisoning by nonsteroidal anti-inflammatory drugs
T39.3-Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Gastric Erosion to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K25.3.
Impact
Clinical: Inaccurate treatment plans, Regulatory: Non-compliance with coding standards, Financial: Potential loss of reimbursement for drug-related conditions
Mitigation Strategy
Always review patient medication history, Include drug use in documentation
Impact
Reimbursement: May lead to incorrect DRG assignment and reimbursement issues., Compliance: Non-compliance with coding guidelines., Data Quality: Poor data quality and inaccurate clinical records.
Mitigation Strategy
Use specific codes like K25.3 or K29.72 based on acute or chronic nature.
Impact
Using unspecified codes when specific codes are applicable.
Mitigation Strategy
Regular training on code updates and documentation requirements.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Gastric Erosion, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Gastric Erosion
Use these documentation templates to ensure complete and accurate documentation for Gastric Erosion. These templates include all required elements for proper coding and billing.
Endoscopy Report for Gastric Erosion
Specialty: GastroenterologyRequired Elements
- Location of erosions
- Size and depth
- Presence of bleeding
- Etiology (e.g., NSAID use)
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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