Chronic superficial gastritis with bleeding

This code signifies a persistent, low-grade inflammation of the stomach lining that affects only the superficial layers, accompanied by evidence of active or recent blood loss. The bleeding is typically chronic and may manifest as melena, hematemesis, or occult blood in stool.

Apply this code when documentation specifies chronic superficial gastritis and explicitly notes associated bleeding. This is often supported by endoscopic findings showing superficial mucosal inflammation and signs of hemorrhage (e.g., erosions, oozing, or fresh blood), along with a history consistent with chronic symptoms.

• Ensure documentation clearly distinguishes between acute and chronic gastritis; "chronic" must be stated.
• Confirm the presence of bleeding; if bleeding is not documented, a different code for chronic superficial gastritis without bleeding should be used.
• Do not confuse with codes for atrophic gastritis or other specified types of gastritis unless specifically documented.