Diseases of Stomach and Duodenum ICD 9 Codes(531-539)

531       Gastric ulcer

Includes:     ulcer (peptic):

prepyloric

pylorus

stomach

Use additional E code to identify drug, if drug-induced

Excludes:    peptic ulcer NOS (533.0-533.9)

The following fifth-digit subclassification is for use with category 531:

0 without mention of obstruction

1 with obstruction

531.0    Acute with hemorrhage

[0-1]

531.1    Acute with perforation

[0-1]

531.2    Acute with hemorrhage and perforation

[0-1]

531.3    Acute without mention of hemorrhage or perforation

[0-1]

531.4    Chronic or unspecified with hemorrhage

[0-1]

531.5    Chronic or unspecified with perforation

[0-1]

531.6    Chronic or unspecified with hemorrhage and perforation

[0-1]

531.7    Chronic without mention of hemorrhage or perforation

[0-1]

531.9    Unspecified as acute or chronic, without mention of hemorrhage or perforation

[0-1]

532       Duodenal ulcer

Includes:     erosion (acute) of duodenum

ulcer (peptic):

duodenum

postpyloric

Use additional E code to identify drug, if drug-induced

Excludes:    peptic ulcer NOS (533.0-533.9)

The following fifth-digit subclassification is for use with category 532:

0 without mention of obstruction

1 with obstruction

532.0    Acute with hemorrhage

[0-1]

532.1    Acute with perforation

[0-1]

532.2    Acute with hemorrhage and perforation

[0-1]

532.3    Acute without mention of hemorrhage or perforation

[0-1]

532.4    Chronic or unspecified with hemorrhage

[0-1]

532.5    Chronic or unspecified with perforation

[0-1]

532.6    Chronic or unspecified with hemorrhage and perforation

[0-1]

532.7    Chronic without mention of hemorrhage or perforation

[0-1]

532.9    Unspecified as acute or chronic, without mention of hemorrhage or perforation

[0-1]

533       Peptic ulcer, site unspecified

Includes:     gastroduodenal ulcer NOS

peptic ulcer NOS

stress ulcer NOS

Use additional E code to identify drug, if drug-induced

Excludes:    peptic ulcer:

duodenal (532.0-532.9)

gastric (531.0-531.9)

The following fifth-digit subclassification is for use with category 533:

0 without mention of obstruction

1 with obstruction

533.0    Acute with hemorrhage

[0-1]

533.1    Acute with perforation

[0-1]

533.2    Acute with hemorrhage and perforation

[0-1]

533.3    Acute without mention of hemorrhage and perforation

[0-1]

533.4    Chronic or unspecified with hemorrhage

[0-1]

533.5    Chronic or unspecified with perforation

[0-1]

533.6    Chronic or unspecified with hemorrhage and perforation

[0-1]

533.7    Chronic without mention of hemorrhage or perforation

[0-1]

533.9    Unspecified as acute or chronic, without mention of hemorrhage or perforation

[0-1]

534       Gastrojejunal ulcer

Includes:     ulcer (peptic) or erosion:

anastomotic

gastrocolic

gastrointestinal

gastrojejunal

jejunal

marginal

stomal

Excludes:    primary ulcer of small intestine (569.82)

The following fifth-digit subclassification is for use with category 534:

0 without mention of obstruction

1 with obstruction

534.0    Acute with hemorrhage

[0-1]

534.1    Acute with perforation

[0-1]

534.2    Acute with hemorrhage and perforation

[0-1]

534.3    Acute without mention of hemorrhage or perforation

[0-1]

534.4    Chronic or unspecified with hemorrhage

[0-1]

534.5    Chronic or unspecified with perforation

[0-1]

534.6    Chronic or unspecified with hemorrhage and perforation

[0-1]

534.7    Chronic without mention of hemorrhage or perforation

[0-1]

534.9    Unspecified as acute or chronic, without mention of hemorrhage or perforation

[0-1]

535       Gastritis and duodenitis

The following fifth-digit subclassification is for use with category 535:

0 without mention of hemorrhage

1 with hemorrhage

535.0    Acute gastritis

[0-1]

535.1    Atrophic gastritis

[0-1]

Gastritis:

atrophic-hyperplastic

chronic (atrophic)

535.2    Gastric mucosal hypertrophy

[0-1]

Hypertrophic gastritis

535.3    Alcoholic gastritis

[0-1]

535.4    Other specified gastritis

[0-1]

Gastritis:

allergic

bile induced

irritant

superficial

toxic

Excludes: eosinophilic gastritis (535.7)

535.5    Unspecified gastritis and gastroduodenitis

[0-1]

535.6    Duodenitis

[0-1]

535.7    Eosinophilic gastritis

[0-1]

536       Disorders of function of stomach

Excludes:    functional disorders of stomach specified as psychogenic (306.4)

536.0    Achlorhydria

536.1    Acute dilatation of stomach

Acute distention of stomach

536.2    Persistent vomiting

Cyclical vomiting

Habit vomiting

Persistent vomiting [not of pregnancy]

Uncontrollable vomiting

Excludes: bilious emesis (vomiting) (787.04)

excessive vomiting in pregnancy (643.0-643.9)

vomiting NOS (787.03)

cyclical, associated with migraine (346.2)

vomiting of fecal matter (569.87)

536.3    Gastroparesis

Gastroparalysis

Code first underlying disease, if known, such as:

diabetes mellitus (249.6, 250.6)

536.4    Gastrostomy complications

536.40  Gastrostomy complication, unspecified

536.41  Infection of gastrostomy

Use additional code to identify type of infection, such as:

abscess or cellulitis of abdomen (682.2)

septicemia (038.0-038.9)

Use additional code to identify organism (041.00-041.9)

536.42  Mechanical complication of gastrostomy

536.49  Other gastrostomy complications

536.8    Dyspepsia and other specified disorders of function of stomach

Achylia gastrica

Hourglass contraction of stomach

Hyperacidity

Hyperchlorhydria

Hypochlorhydria

Indigestion

Tachygastria

Excludes: achlorhydria (536.0)

heartburn (787.1)

536.9    Unspecified functional disorder of stomach

Functional gastrointestinal:

disorder

disturbance

irritation

537       Other disorders of stomach and duodenum

537.0    Acquired hypertrophic pyloric stenosis

Constriction of pylorus, acquired or adult

Obstruction of pylorus, acquired or adult

Stricture of pylorus, acquired or adult

Excludes: congenital or infantile pyloric stenosis (750.5)

537.1    Gastric diverticulum

Excludes: congenital diverticulum of stomach (750.7)

537.2    Chronic duodenal ileus

537.3    Other obstruction of duodenum

Cicatrix of duodenum

Stenosis of duodenum

Stricture of duodenum

Volvulus of duodenum

Excludes: congenital obstruction of duodenum (751.1)

537.4    Fistula of stomach or duodenum

Gastrocolic fistula

Gastrojejunocolic fistula

537.5    Gastroptosis

537.6    Hourglass stricture or stenosis of stomach

Cascade stomach

Excludes: congenital hourglass stomach (750.7)

hourglass contraction of stomach (536.8)

537.8    Other specified disorders of stomach and duodenum

537.81  Pylorospasm

Excludes: congenital pylorospasm (750.5)

537.82  Angiodysplasia of stomach and duodenum without mention of hemorrhage

537.83  Angiodysplasia of stomach and duodenum with hemorrhage

537.84  Dieulafoy lesion (hemorrhagic) of stomach and duodenum

537.89  Other

Gastric or duodenal:

prolapse

rupture

Intestinal metaplasia of gastric mucosa

Passive congestion of stomach

Excludes: diverticula of duodenum (562.00-562.01)

gastrointestinal hemorrhage (578.0-578.9)

537.9    Unspecified disorder of stomach and duodenum

538       Gastrointestinal mucositis (ulcerative)

Use additional E code to identify adverse effects of therapy, such as:

antineoplastic and immunosuppressive drugs (E930.7, E933.1)

radiation therapy (E879.2)

Excludes:    mucositis (ulcerative) of mouth and oral soft tissue (528.00-528.09)

539       Complications of bariatric procedures

539.0    Complications of gastric band procedure

539.01  Infection due to gastric band procedure

Use additional code to specify type of infection, such as:

abscess or cellulitis of abdomen (682.2)

septicemia (038.0-038.9)

Use additional code to identify organism (041.00-041.9)

539.09  Other complications of gastric band procedure

Use additional code(s) to further specify complication

539.8    Complications of other bariatric procedure

Excludes: complications of gastric band surgery (539.01-539.09)

539.81  Infection due to other bariatric procedure

Use additional code to specify type of infection, such as:

abscess or cellulitis of abdomen (682.2)

septicemia (038.0-038.9)

Use additional code to identify organism (041.00-041.9)

539.89  Other complications of other bariatric procedure

Use additional code(s) to further specify complication