Gastric intestinal metaplasia with low grade dysplasia

This code signifies the presence of intestinal metaplasia within the stomach lining, specifically characterized by low-grade dysplasia. This condition represents a precancerous change where the gastric mucosa transforms to resemble intestinal tissue, with cellular abnormalities indicating a low risk of progression to adenocarcinoma.

Apply this code when pathology reports confirm gastric intestinal metaplasia with a definitive finding of low-grade dysplasia. This typically follows endoscopic biopsy and histological examination. Documentation must clearly specify both the intestinal metaplasia and the low-grade dysplastic changes.

• Ensure the pathology report explicitly states "low-grade dysplasia" in conjunction with gastric intestinal metaplasia.
• Do not use this code for high-grade dysplasia or for intestinal metaplasia without dysplasia.
• Consider sequencing this code as a primary diagnosis if it is the main reason for the encounter, or as a secondary diagnosis if it is an associated condition being managed.