Chronic atrophic gastritis without bleeding

This code signifies a persistent, long-term inflammation of the stomach lining characterized by atrophy of the glandular tissue, without any evidence of active hemorrhage. It represents a chronic degenerative process affecting the gastric mucosa, often leading to reduced acid production and malabsorption.

Assign this code when documentation explicitly states chronic atrophic gastritis and confirms the absence of bleeding. This is typically supported by endoscopic findings, biopsy reports showing glandular atrophy, and a lack of hematemesis, melena, or positive occult blood tests.

• Differentiate from acute gastritis (K29.10) or other specified gastritis types.
• Ensure documentation explicitly negates active bleeding; if bleeding is present, a different code is required.
• Consider sequencing if associated with other conditions, such as pernicious anemia, which may be a comorbidity or consequence.