Wiki Help Gastritis ICD-9

GinaK

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Please help with the correct ICD-9 code.

The Patient had an Antrum Bx.

The Path Report diagnosis states:

Moderate chronic active gastritis, biopsy of antrum

Diff Quick and Immunohistochemical stain for Helicobacter Pylori are negative.


Which code is correct 535.10 or 535.40?

There is another coder in my office that uses 535.40 for all Antrum Gastritis cases.

I have always coded Gastritis as a type:

Acute 535.0?, Chronic 535.1? Hypertrophic 535.2? etc. and understood 535.4? to be a contributing type such as allergic, toxic, etc. Does the Other specified gastritis include gastritis of the antrum? The only time that I have coded an anatomic location under 535 would be 535.6? Duodenitis.

Please, can someone verify which code is correct??? I am now losing sleep over this coding dilemma.

Thanking you in advance for my much needed sleep.
 
Hi there, As per the ICD-9 Index: antral gastritis is to be coded as 535.40 if w/o mention of hemorrhage.

Refer to the index ---> gastritis----> Antral :)

Hope this helps
 
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