The well-known classifier of diseases ICD 10 (International Classifier of Diseases of the 10th revision) contains all the data on absolutely all diseases that can occur in humans. Gastritis, of course, is also listed in ICD10 and has its own unique code there. All varieties of gastritis also have differences in their designations. The code of gastritis in the ICD is 10 K29, there are 8 subspecies of it in total. The classifier of diseases helps both doctors and patients: using this unique reference book, you will always be exactly sure of your diagnosis. Gastritis code according to ICD-10 – more information gastritinfo.com.
International Classification of Diseases (ICD-10)
The purpose of the ICD is to provide an opportunity to systematically record, analyze, interpret and compare data on mortality and morbidity obtained in different countries or regions and at different times.
The ICD is used to translate the verbal expression of the diagnosis of diseases and other health problems into alphanumeric codes that provide convenience for storing, extracting and analyzing data.
In practice, the ICD has become the international standard diagnostic classification for all general epidemiological and many health management-related purposes. They include analyzing the general health situation of population groups and monitoring the frequency and prevalence of diseases and other health-related problems in their relationship with various factors, such as certain characteristics or circumstances affecting individuals.
The ICD is not suitable and is not intended for indexing individual clinical cases. There are also some difficulties in using the ICD to study financial issues, such as billing or resource allocation.
ICD can be used to classify diseases and other health-related problems registered in various types of documentation related to the health and natural movement of the population. It was originally used to classify the causes of death recorded during death registration. Later, its scope was expanded to include diagnoses for morbidity statistics.
It is important to note that since the ICD is mainly intended for the classification of diseases and injuries with an official diagnosis, not every problem or reason for seeking medical help can be designated in this way. Therefore, the ICD provides in its structure a wide range of signs, symptoms, identified pathologies, complaints, social circumstances that can replace diagnoses in medical documentation (Classes XVIII and XXI).
Therefore, the ICD can be used to classify data recorded under headings such as “diagnosis”, “reason for hospitalization”, “conditions for which treatment was performed”, “reason for consultation”, which are available in various types of medical documentation, from which statistical data and other types of health information are extracted.
Gastritis code according to ICD 10
Chronic gastritis is a chronic inflammatory process of the gastric mucosa, characterized by a violation of its physiological regeneration, a decrease in the number of glandular cells, with progression – atrophy of the glandular epithelium with subsequent development of intestinal metaplasia and dysplasia, disorder of secretory, motor and often endocrine function of the stomach.
- code K29: gastritis and duodenitis;
- code K29.0: acute hemorrhagic gastritis;
- code K29.1: other acute gastritis;
- code K29.3: chronic gastritis;
- code K29.4: erosive gastritis;
- code K29.5 :chronic gastritis antral, fundal;
- code K29.8: Duodenitis;
- code K29.9 :Chronic gastroduodenitis.
Gastritis description of the disease in the ICD10 handbook
Gastritis is an inflammation of the gastric mucosa. Gastritis can occur in an acute or chronic (slowly develops over several months or years) form.
The cause of gastritis is most often the bacterium Helicobacter pylori, which affects the gastric mucosa. Also, chronic gastritis can occur against the background of an inflammatory disease — Crohn’s disease, characterized by inflammation of the digestive tract. Prolonged use of alcohol, aspirin or NSAIDs can also lead to chronic gastritis.
One of the forms of gastritis, known as atrophic or autoimmune gastritis, is a consequence of a pathological reaction of the immune system (antibodies are produced that destroy the tissues of the gastric mucosa).
Chronic gastritis often proceeds without pronounced symptoms, but as a result of chronic gastritis, a gradual lesion of the gastric mucosa may occur, which will eventually manifest symptoms similar to those of acute gastritis.
Atrophic gastritis often proceeds without pain, and the only symptom of atrophic gastritis may be malignant anemia, leading to a deficiency in the body of vitamin B12. With atrophic gastritis, the stomach is unable to produce a sufficient amount of internal Castle factor, a protein necessary for the absorption of vitamin B12. Patients suffering from atrophic gastritis have an increased risk of developing stomach cancer.
Gastritis usually goes away with a change in lifestyle, for example, with a decrease in the doses of alcohol taken. If chronic gastritis is caused by Helicobacter pylori infection, full recovery usually occurs after taking a course of antibiotics and anti-ulcer drugs.
Symptoms of acute and chronic gastritis are:
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- pain or a feeling of comfort in the stomach, often after eating;
- nausea and vomiting;
- loss of appetite;
gastric bleeding (may not occur until anemia develops); in case of severe bleeding with gastritis, vomiting with blood or a dark, tar-like stool may occur.
Chronic gastritis ICD code 10
Occupying three positions in the medical classification in class 29, chronic gastritis (ICD code 10) is a very common disease that is often detected not only in adults, but also in high school students.
Chronic gastritis most often occurs due to regular eating disorders and eating a large amount of fatty, spicy, salty, sweet food, as well as carbonated and alcoholic beverages. In addition, frequent stresses, experiences, and anxieties can provoke its appearance. That is why this disease is so widespread in the modern world.
In addition to neurological causes and malnutrition, a number of changes in the gastric mucosa occur due to other diseases and the use of potent drugs, including antibiotics.
Another widespread cause of gastritis is the bacterium Helicobacter pylori and other microorganisms.The causes that cause the chronic form provoke the appearance of such a disease as erosive gastritis, the ICD code of which is K29.0.
This gastritis manifests itself in isolated attacks when irritating factors occur and passes relatively quickly without a trace. However, erosive, or acute, gastritis can provoke the appearance of chronic gastritis if ignored.
At the 10th revision of the International Classification of Diseases (ICD 10), stomach diseases were listed in class 29, where, in addition to chronic gastritis, other varieties of it are indicated:
- K29.0 — acute hemorrhagic gastritis;
- K29.1 — other acute gastritis;
- K29.2 — alcoholic gastritis;
- K29.3 — chronic superficial gastritis;
- K29.4 — chronic atrophic gastritis (mucosal atrophy);
- K29.5 — chronic unspecified gastritis (antral and fundal);
- K29.6 — other gastritis;
- K29.7 — unspecified gastritis.
For all their similarity, each of the types of chronic gastritis has its own characteristics of the development and course of the disease, as well as ways to treat them. A change in the gastric mucosa that causes a variety of disorders of its work is one of the manifestations of the disease. Its most characteristic feature is pain in the upper abdomen. It can be both acute and dull, aching. Pulling painful sensations occur with an empty stomach. The pain may appear 1-1.5 hours after eating.
In addition to pain, with chronic gastritis, heartburn, nausea, belching often appear. There may be an unpleasant taste in the mouth, and a feeling of overflow in the stomach. Often, the appetite decreases with the disease. There is also other discomfort in the abdomen, such as a feeling of heaviness, bloating. Flatulence and intestinal disorders may begin.
In a state of remission, chronic gastritis does not manifest itself in any way, although its attacks may bother after the abuse of heavy foods or with strong emotional experiences. Usually exacerbations of chronic gastritis occur in spring and autumn.
To prescribe effective treatment that will relieve the severity of exacerbation and prevent the development of more dangerous diseases, it is necessary to establish the cause of chronic gastritis and its type according to the international classification.
Diagnosis is performed precisely on the days of its exacerbation, since in a state of remission, part of the tests will not show any changes in the body.
Blood and urine tests can reveal signs of inflammation and anemia. Stool analysis will show how well the food is digested and whether there is hidden blood in the digestive tract.However, the main diagnostic procedure is FGDS — fibrogastroduodenoscopy, in which an endoscope is inserted into the stomach through the esophagus. Thanks to FGDS, it is possible to examine the diseased organ from the inside, assess the volume of inflammation of the mucous membrane, take samples of gastric fluid and a biopsy of the stomach walls.
Samples taken from the stomach are checked for the presence of microorganisms, in particular, to detect Helicobacter pylori, which causes inflammatory processes in most cases of chronic gastritis. In addition to detecting microorganisms, the samples obtained with FGDS allow you to determine the level of gastric acidity, which is extremely important when prescribing treatment.
ICD-10 code erosive gastritis
The International Classification of Diseases is a normative document that ensures the worldwide unity of methods and materials. In the Russian Federation, the healthcare system made the transition to an international classification back in 1999.
According to this systematization, recognized both in our homeland and throughout the world, ailments of the digestive organs are classified according to the following designations: K00–K93 (ICD-10 code). Erosive gastritis is listed under the code K29.0 and is diagnosed as an acute hemorrhagic form.
There are other forms of this disease, and here are the designations assigned to them:
- K29.0 (ICD-10 code) – erosive gastritis (another name is acute hemorrhagic);
- K29.1 – other acute forms of the disease;
- K29.2 – alcoholic (provoked by alcohol abuse);
- K29.3 – superficial gastritis in chronic manifestation;
- K29.4 – atrophic in chronic course;
- K29.5 – chronic course of antral and fundal gastritis;
- K29.6 – other chronic gastritis diseases;
- K29.7 – unspecified pathology.
Erosive gastritis of the stomach (ICD-10 code: K29.0) is a fairly common disease of the gastrointestinal tract, characterized by the appearance of a large number of erosions on the mucosa (rounded formations of red color). This pathology most often manifests itself in an acute form and is complicated by internal bleeding.
However, chronic erosive gastritis is also diagnosed (ICD-10 code: K29.0), which may manifest in a sluggish form of the disease or may not be accompanied by symptoms at all. This type of ailments of the gastrointestinal tract is considered the longest, taking into account the time spent on treatment. It is most often observed in adult patients, especially in men.
Forms of gastritis :
- acute ulcerative: may occur due to injuries and burns of the stomach. It manifests itself in bloody impurities in vomit and feces;
- chronic erosive gastritis (ICD-10 code: K29.0) :characterized by a change of exacerbations and remissions of the disease. Erosive neoplasms reach five to seven millimeters;
- antral gastritis: affects the lower part of the stomach. Caused by bacteria and pathogens;
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- reflux gastritis: a very severe form of the disease, accompanied by the release of exfoliated organ tissues through vomiting. Ulcers can reach one centimeter;
erosive-hemorrhagic gastritis: complicated by severe and copious bleeding, leading to a likely fatal descent.
Treatment of erosive gastritis (ICD-10 code: K29.0) is based on the following basic principles:
- destruction of pathogen bacteria (“Clarithromycin”, “Pilobact Neo”, “Metronidazole”, “Amoxicillin”);
- reduction of hydrochloric acid aggression (“Almagel”, “Maalox”, “Rennie”); promotion of proper digestive processes (“Mezim”, “Pangrol”, “Festal”);
- normalization of acidity (“Famotidine”, “Omez”, “Controlok”);
- stopping bleeding (“Etamzilate”, “Vikasol”);
- use of antibiotics;
- relief of pain spasms and sensations.
These drugs are also used for exacerbation of erosive gastritis (ICD-10 code: K29.0). The attending physician will prescribe individual therapy, which will need to be applied in accordance with the prescribed dosage and schedule of medications.