2024 ICD-10-CM Diagnosis Code B96.81

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

• Anastomotic ulcer of stomach caused by Helicobacter pylori
• Bacterial duodenitis
• Chronic gastritis caused by Helicobacter pylori
• Duodenal ulcer caused by bacterium
• Duodenal ulcer caused by bacterium
• Duodenal ulcer caused by drug
• Duodenal ulcer caused by Helicobacter pylori
• Duodenal ulcer caused by Helicobacter pylori
• Duodenal ulcer caused by Helicobacter pylori and non-steroidal anti-inflammatory agent
• Duodenal ulcer caused by non-steroidal anti-inflammatory drug
• Duodenitis caused by Helicobacter pylori
• Gastric hemorrhage due to Helicobacter pylori
• Gastric ulcer caused by bacterium
• Gastric ulcer caused by bacterium
• Gastric ulcer caused by bacterium
• Gastric ulcer caused by bacterium
• Gastric ulcer caused by drug
• Gastric ulcer caused by Helicobacter pylori and non-steroidal anti-inflammatory agent
• Gastric ulcer caused by non-steroidal anti-inflammatory drug in therapeutic use
• Gastric ulcer due to Helicobacter pylori
• Gastric ulcer due to Helicobacter pylori
• Helicobacter blood test finding
• Helicobacter detected by serology
• Helicobacter detected in blood
• Helicobacter pylori gastrointestinal tract infection
• Helicobacter pylori-associated gastritis
• Helicobacter pylori-associated gastritis
• Helicobacter-associated colitis
• Helicobacter-associated disease
• Helicobacter-associated gastritis
• Helicobacter-associated gastritis
• Helicobacter-associated gastritis
• Helicobacter-associated proctitis
• Helicobacter-associated pyloric ulcer
• Infective proctitis
• Non-steroidal anti-inflammatory drug-induced enteropathy
• Pyloric ulcer

Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10-CM Code Edits are applicable to this code:

• Unacceptable principal diagnosis - There are selected codes that describe a circumstance which influences an individual's health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.

B96.81 is grouped with Diagnostic Related Groups - MS-DRG Mapping

Diagnostic Related Groups (DRGs) are a classification system used to group together diagnosis codes for the purpose of reimbursement and healthcare management. DRGs are used to standardize the way hospitals and other providers are paid for inpatient services. In this system patients are grouped together based on their principal diagnosis in areas referred to as Major Diagnostic Categories (MDC). Once a patient is assigned a particular diagnostic category, providers receive a predetermined payment rate for the services rendered. This reimbursement rate is often fixed and is meant to cover the cost of care for that patient. Reimbursement is also affected by the relative weight of a diagnostic related group based on the severity of a patient's illness and the associated cost of care during hospitalization.

Diagnostic related groups encourage healthcare providers to focus on quality and efficiency in patient care while managing costs effectively. The diagnosis code is present in the following groups for version MS-DRG V41.0 applicable from 10/01/2023 through 09/30/2024.

MS-DRG	MS-DRG Title	MCD	Relative Weight
867	OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC	18	2.0923
868	OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC	18	1.0855
869	OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC	18	0.6907

The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.

Convert B96.81 to ICD-9-CM

• ICD-9-CM Code: 041.86 - Helicobacter pylori

Patient Education

Helicobacter Pylori Infections

Helicobacter pylori (H. pylori) is a type of bacteria that causes infection in the stomach. It is the main cause of peptic ulcers, and it can also cause gastritis and stomach cancer.

About 30 to 40% of people in the United States get an H. pylori infection. Most people get it as a child. H. pylori usually does not cause symptoms. But it can break down the inner protective coating in some people's stomachs and cause inflammation. This can lead to gastritis or a peptic ulcer.

Researchers aren't sure how H. pylori spreads. They think that it may spread by unclean food and water, or through contact with an infected person's saliva and other body fluids.

A peptic ulcer causes a dull or burning pain in your stomach, especially when you have an empty stomach. It lasts for minutes to hours, and it may come and go for several days or weeks. It may also cause other symptoms, such as bloating, nausea, and weight loss. If you have the symptoms of a peptic ulcer, your health care provider will check to see whether you have H. pylori. There are blood, breath, and stool tests to check for H. pylori. In some cases, you may need an upper endoscopy, often with a biopsy.

If you do have a peptic ulcer, the treatment is with a combination of antibiotics and acid-reducing medicines. You will need to be tested again after treatment to make sure the infection is gone.

There is no vaccine for H. pylori. Since H. pylori might spread through unclean food and water, you might be able to prevent it if you:

• Wash your hands after using the bathroom and before eating
• Eat properly prepared food
• Drink water from a clean, safe source

NIH: National Institute of Diabetes and Digestive and Kidney Diseases

[Learn More in MedlinePlus]

Code History

• FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
• FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
• FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
• FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
• FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
• FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
• FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
• FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
• FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.