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Home/Diagnosis/ICD-10 Coding for H. pylori Infection

ICD-10 Coding for H. pylori Infection

B96.81
K25.9

Complete ICD-10-CM coding and documentation guide for icd-10 coding for h. pylori infection includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Helicobacter pylori
H. pylori gastritis
H. pylori ulcer
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Key Information: ICD-10 Coding for H. pylori Infection

Essential facts and insights about ICD-10 Coding for H. pylori Infection

Use ICD-10 code B96.81 for helicobacter pylori [h. pylori] as the cause of diseases classified elsewhere, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere

Billable Code
B96.81
Billable

Diagnostic Criteria

clinical:
  • • Confirmed H. pylori infection via testing
coding:
  • • Use only as a secondary code

Applicable To

  • • H. pylori infection as a secondary diagnosis

Important Notes

  • • Ensure proper sequencing with primary condition codes.

Gastric ulcer, unspecified as acute or chronic, without hemorrhage or perforation

Billable Code
K25.9
Billable

Diagnostic Criteria

clinical:
  • • Endoscopic confirmation of ulcer

Applicable To

  • • Gastric ulcer confirmed by endoscopy

Important Notes

  • • Ensure documentation specifies ulcer location and H. pylori confirmation.
Ancillary Codes

Additional codes that may be used with this diagnosis

B96.81

H. pylori as the causative agent

Use alongside K25.9 to specify H. pylori involvement.

Frequently Asked Questions

What is the ICD-10 code for H. pylori?

The ICD-10 code for H. pylori as a causative agent is B96.81, used as a secondary code with primary conditions like gastric ulcers.

Can B96.81 be used as a primary diagnosis?

No, B96.81 is an ancillary code and must be used with a primary diagnosis such as K25.9 for gastric ulcers.

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