The prevalence of PHG in patients with portal hypertension has been reported to vary between 20% and 80% 1, 9-12. Portal hypertensive gastropathy is a rare cause of acute bleeding but can be a source of chronic intestinal blood loss. 6 - other international versions of ICD-10 K76. 24 [convert to ICD-9-CM] Chronic thromboembolic pulmonary hypertension. [ Read More ]ICD-10 code K31. 6±2. 01. A patient was diagnosed with stomach aderlass due to erosive gastritis real portal hypertensive gastropathy. ICD-10-CM Diagnosis Code I15. AHA Coding Clinic ® for ICD-9 - 2005 Issue 3; Ask the Editor Congestive Portal Gastropathy. EGD results: bleeding esophageal varices and portal hypertensive gastropathy throughout the stomach body, antrum, fundus, and cardia. Portal hypertensive gastropathy: Clinical history (portal hypertension) and specific endoscopic findings Additional references. 1 - other international versions of ICD-10 K75. K76. 1 for Chronic passive congestion of liver is a medical classification as listed by WHO under the range - Diseases of the digestive system . 81 became effective on October 1, 2023. People with advanced liver disease have other concerns besides esophageal varices. Other diseases of stomach and duodenum (K31) Other diseases of stomach and duodenum (K31. A 63-year-old was admitted with complaints of epigastric abdominal pain and difficulty eating. Showing 1-25: ICD-10-CM Diagnosis Code I85. This is the American ICD-10-CM version of B65. No varices seen. 4 for Gastric diverticulum is a medical classification as listed by WHO under the range -Diseases of esophagus, stomach and duodenum . K70. Use additional code for any associated complications, such as: portal hypertensive gastropathy (K31. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code (or codes). Other cirrhosis of liver. (2006) 101:983–92. 500 results found. 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)Portal hypertension is an increase in the blood pressure within a system of veins called the portal venous system. Chronic venous hypertension (idiopathic) without complications of unspecified lower extremity. -); hypertensive heart disease. Coding. ICD-10-CM Codes. Synonyms: disorder of duodenum, disorder of stomach, erosive. Short description: Disorder of bile acid and cholesterol metabolism, unsp. Nonalcoholic fatty liver disease (NAFLD) has emerged as one of the commonest causes of chronic liver disease, affecting up to 25%–30% of the global population. Biliary cirrhosis, unspecified. [QUOTE="Senthil, post: 451924, member: 405160"]Hi all, What is the code for portal hypertensive gastropathy?[/QUOTE] Hi Senthi, Portal hypertensive gastropathy ICD 10 cm Cod. 2004. 89) The use of ICD-10 code K76. Wherever such a combination exists, there is a "use. Laceration of portal vein, initial encounter. Portal hypertension. Gastrointestinal bleeding accounts for up to 25% of overall mortality in patients with cirrhosis. The 2024 edition of ICD-10-CM K31. Portal hypertensive gastropathy; Severe stomach dysplasia; ICD-9-CM Volume 2 Index entries containing back-references to 537. [. FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. 80 - other international versions of ICD-10 K29. ICD-10-CM Alphabetical Index References for 'K31. Abstract. Portal hypertensive gastropathy (PHG) and gastric antral vascular ectasia (GAVE) are two distinct types of gastric mucosal lesions that can result in bleeding in patients with liver disease. Different causes of gastropathy fall under different sub-types. 3, including coding notes, detailed descriptions, index cross-references and ICD-10-CM conversion. Portal hypertension. The superior mesenteric vein and the splenic vein unite behind the neck of the pancreas to form the portal vein. 63Dermatitis stasis; Diabetes type 2 with statis ulcer; Peripheral venous insufficiency; Stasis dermatitis; Stasis dermatitis without varicosities; Stasis ulcer due to type 2 diabetes mellitus; Stasis ulcer of leg without varicose veins; Venous stasis ulceration of lower limb; , if applicable, associated hypertensive conditions such as:; essential (primary). 2 [convert to ICD-9-CM] Fecal urgency. ICD-10-CM Diagnosis Code H40. Short description: Oth acquired deformities of musculoskeletal system. Argon plasma coagulation can be a valuable alternative. 9, including coding notes, detailed descriptions, index cross-references and ICD-10-CM conversion. Swollen, congested blood vessels in your stomach lining. 9 - other international versions of ICD-10 K31. . ICD-10-CM Diagnosis Code I27. 2018 - New Code. code for any associated complications, such as:; portal hypertensive gastropathy (K31. Most patients bleed from esophageal or gastric varices, but bleeding from ectopic varices or portal hypertensive gastropathy is also possible. 3. 70; exudative K90. This section shows you chapter-specific coding guidelines to increase your understanding and correct usage of the target ICD-10-CM Volume 1 code. In one study, 14 portal hypertensive patients with heavy diffuse bleeding from portal hypertensive gastropathy received propranolol in a dose of 24 to 480 mg per day. A total of 105 patients with chronic liver disease and portal hypertension (PH) were included, upper endoscopy was performed, and two duodenal. These changes in the mucosa include friability of the mucosa and the presence of ectatic blood vessels at the surface. The official AHA publication for ICD-10-CM and ICD-10-PCS coding guidelines and advice. 89, including coding notes, detailed descriptions, index cross-references and ICD-10-CM conversion. Mental confusion or disorientation. 30 became effective on October 1, 2023. Showing 1-25: ICD-10-CM Diagnosis Code I67. abdominal cramps. Applicable To. Primary differential includes portal hypertensive gastropathy, which may present with vascular ectasia but lacks fibrin thrombi. com - Schedule of ratings—digestive system. Because gastropathy can lead to ulcers and intestinal bleeding, some people may also experience: black or tarry stool. ICD-10 code K31. Portal hypertension (exact match) This is the official exact match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This is the American ICD-10-CM version of M95. 81. . Other less common causes of portal hypertension include noncirrhotic portal hypertension and extrahepatic portal. Search Results. . ICD-10-CM Diagnosis Code I27. It is found in the 2024 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2023 - Sep 30, 2024 . Where is the correct item appointment required portal hypertensive gastropathy?. 89; portal hypertensive (see. 5 by 2 people. pylori infection is in cirrhotic patients with PHG and to see if there’s a link between H. 62 However, bleeding is relatively less common, with 10. Portal hypertension most commonly develops in the setting of chronic liver injury with cirrhosis and typically is the result of a combination of. Esophageal varices with bleeding. Code History. Free, official information about 2009 (and also 2010-2015) ICD-9-CM diagnosis code 572. 8 [convert to ICD-9-CM] Other secondary hypertension. 33. Includes ICD-10-CM/PCS Articles since 2013. The following code (s) above K31. Included guidance statements are based on the following: (1) review of the. In most cases, the diagnosis can be made during endoscopic evaluation, although for a few cases, histology may be necessary to confirm the diagnosis. code for any associated complications, such as:; portal hypertensive gastropathy (K31. 9 is a billable diagnosis code used to specify disease of stomach and duodenum, unspecified. Clinically, varices present with acute onset of upper GI bleed which can be torrential and life-threatening because the veins are distended under high pressure. 6 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 89) Includes Excludes I Excludes II Notes From Section K70-K77: hemochromatosis (E83. Search Results. Select the associated ICD-10 code to view any special notations from the Tabular List. 11 [convert to ICD-9-CM] Secondary esophageal varices with bleeding. Portal hypertensive colopathy (PHC) is a new clinical entity in patients with liver cirrhosis. I want to check other coders' opinions as to how to sequence the ICD-10-CM coding in the following situation: Physician documents "Cirrhosis r/o varices" for the indications for an EGD procedure and it is positive for both EV's and portal hypertensive gastropathy. 6 ICD-9 572. ICD-10-CM Diagnosis Code H40. Assign K31. Portal gastropathy is congestion of the distal stomach due to increased pooling of blood in the veins that drain the stomach, caused by portal hypertension. Chimmy73. 5035. This review describes the differences between the mechanisms of cirrhotic portal hypertension (PHT) and PHT in non-cirrhotic NAFLD. Chronic venous hypertension w ulcer and inflammation; code to specify site and severity of ulcer (L97. 89)Figure 3. 118A is grouped within Diagnostic Related Group(s) (MS-DRG v 41. 9: Disease, diseased - see also Syndrome. Essential (primary) hypertension. . is grouped within Diagnostic Related Group (s. 2023 - New Code 2024 Billable/Specific Code POA Exempt. This site is dedicated exclusively to helping you look up ICD-10 codes, quickly access the codes you use most, and become more comfortable with the new code set in general. Portal hypertensive ileopathy, and portal hypertensive colopathy[38,276] are also associated with portal hypertension. A patient was diagnosed with stomach aderlass due. 40); chronic hepatic failure without coma (K72. K52. M05 Rheumatoid arthritis with rheumatoid factor. About one-fifth of the patients with portal hypertension develop gastric varices [ 189 ]. 00 - other international versions of ICD-10 I85. Benign secondary hypertension; Hypertension, due to another condition; Hypertension, secondary; Secondary hypertension. This is the American ICD-10-CM version of K76. Gastric antral vascular ectasia ( GAVE) is an uncommon cause of chronic gastrointestinal bleeding or iron deficiency anemia. The 2024 edition of ICD-10-CM A08. 89 [convert to ICD-9. For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Introduction. ICD 10 Coding Cases Ch 23 & 24. Clinically, varices present with acute onset of upper GI bleed which can be torrential and life-threatening because the veins are distended under high pressure. Portal hypertensive colopathy (PHC) is a condition in which changes occur in the mucosal membrane of colon in patients affected with portal hypertension and liver. 3 - D69. Biliary cirrhosis. It is determined by the increased portal pressure gradient (the difference in pressures between the portal venous pressure and the pressure within the inferior vena cava or the hepatic vein. 6 became effective on October 1, 2023. 761. ICD-10-CM Diagnosis Code H40. 1 - other international versions of ICD-10 K82. ICD-9-CM 572. Some causes include: Ingested substances, such as alcohol and drugs. 451924, member: 405160"]Hi all, What is the code for portal hypertensive gastropathy?[/QUOTE] Hi Senthi, Portal hypertensive gastropathy ICD 10 cm Cod. Showing 1-25: ICD-10-CM Diagnosis Code I15. [ Read More ] View All. ICD-10-CM; Newborn Codes; Pediatric Codes; Adult Codes; Maternity Codes; Female Only Diagnosis Codes; Male Only Diagnosis Codes; Manifestation. -, I27. 00 became effective on October 1, 2023. ICD-10-CM Diagnosis Code H35. Portal hypertensive gastropathy (PHG) refers to changes in the mucosa of the stomach in patients with portal hypertension. 3 for Infarction of liver is a medical classification as listed by WHO under the range - Diseases of the digestive system . 6 for Fistula of stomach and duodenum is a medical classification as listed by WHO under the range -Diseases of esophagus, stomach and. Hypertension complication after surgery; Postoperative hypertension. ICD-10-CM Diagnosis Code H40. This article reviews the clinical features, diagnosis, pathophysiology, and management of PHE, and compares it with other forms of autoimmune enteropathy. 8 for Other specified diseases of liver is a medical classification as listed by WHO under the range - Diseases of the digestive system . 2023 - New Code 2024 Billable/Specific Code POA Exempt. 311A [convert to ICD-9-CM] Laceration of portal vein, initial encounter. This may be a repeat but I can't seem to find it anywhere - what icd-9 code do you use for 'reactive gastropathy'? (not 'portal hypertensive gastropathy'). -, I27. . Complications of portal hypertension in cirrhotic patients include esophageal and gastric varices, portal hypertensive gastropathy, ascites, hepatorenal syndrome, hepatopulmonary syndrome and portopulmonary hypertension. 210 Comments: (1) Acute bronchitis with COPD is assigned code J44. 7 Hepatorenal syndrome K76. ICD-10-CM Diagnosis Code H40. To read the full article, sign in and subscribe to AHA Coding Clinic ® for ICD-10-CM and ICD-10-PCS . A portal pressure gradient of 12 mmHg or more has been shown to be necessary for the formation of ascites [ 7, 8 ]. Diseases of the digestive system. Portal hypertensive gastropathy (PHG) is a well-defined endoscopic finding of advanced chronic liver disease. Portal hypertensive gastropathy (PHG) is a complication of high blood pressure in your portal veins, which carry blood to your liver. 9 contain annotation back-references that may be applicable to K31. Esophageal varices with bleeding, associated with another disorder. o Liver cirrhosis and/or portal hypertensive gastropathy o Familial adenomatous polyposis o Personal history of colonic polyp . Twenty dyspeptic patients with normal upper endoscopy were included as controls. nausea or vomiting. congestive portal (see also, Hypertension, portal) - K31. The diagnosis is made endoscopically; therefore, there is great variability in their assessment. a premature feeling of fullness during a meal. 5X5); congenital heart disease (Q20-Q28); human immunodeficiency. Chronic venous hypertension (idiopathic) with ulcer and inflammation. Pulmonary. esophageal/gastric varices, portal hypertensive gastropathy or hypertensive colopathy Giampaolo Bresci UO Gastroenterologia, AOUPisana, Italy Tel. K82. 9. These changes in the mucosa include friability of the mucosa and the presence of ectatic blood vessels at the surface. associated conditions if applicable, or adverse effects of drugs or toxins, such as:; adverse effect of appetite depressants (T50. Mental confusion or disorientation. Free, official info about 2015 ICD-9-CM diagnosis code 537. Clinically, varices present with acute onset of upper. 6 can also apply to: Banti's disease or syndrome (with cirrhosis) (with portal. Gastritis and duodenitis. is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. ICD-9-CM 572. 15 [convert to ICD-9-CM] Urgency of urination. 9 became effective on October 1, 2023. The diagnostic feature of PHG is the endoscopic. ICD-10 code K76. 8 became effective on October 1, 2023. 3748/wjg. Both entities are clinically relevant because they may cause insidious blood loss or even acute massive gastrointestinal hemorrhage. K29. portal hypertensive gastropathy ; gastropathy K31. [ 4] is used for endoscopic findings (Table 46. ICD-10. This is the American ICD-10-CM version of E78. Garrod's pad, knuckle M72. 451924, member: 405160"]Hi all, What is the code for portal hypertensive gastropathy?[/QUOTE] Hi Senthi, Portal hypertensive gastropathy ICD 10 cm Cod. This is the American ICD-10-CM version of K52. In this study, colonoscopic findings and clinical features including upper gastrointestinal endoscopy and hepatic hemodynamics were prospectively investigated among 35 PH patients with a hepatic venous pre. The enlarged folds involved only the fundus. 89. venous pressure 459. 9is assigned for the acute bronchitis to identify the infection. Portal hypertensive gastropathy can. 0):ICD-10-CM Diagnosis Code Z87. ALL years/issues back to 1984 organized by year and issue. 1111/j. 81 contain annotation back-references that may be applicable to K31. ICD-10 code K76. Other less common causes of portal hypertension include noncirrhotic portal hypertension and extrahepatic portal. 10; toxic liver disease I85. 7 for Polyp of stomach and duodenum is a medical classification as listed by WHO under the range -Diseases of esophagus, stomach and d. 500 results found. [ Read More ] View All. . Use additional code for any associated complications, such as: portal hypertensive gastropathy (K31. Learn more about this. The 2024 edition of ICD-10-CM K31. K76. Portal hypertensive enteropathy (PHE) is a rare complication of portal hypertension that affects the small intestine and causes bleeding, malabsorption, and anemia. 0 [convert to ICD-9-CM] Hypertensive heart disease with heart failure. A 'billable code' is detailed enough to be used to specify a medical diagnosis. The right branch drains the cystic vein, and the left branch receives. ICD-10 code K31. 500 results found. Orthostatic hypotension (low blood pressure upright); Syncope (fainting) due to orthostatic hypotension; Syncope due to orthostatic hypotension; Tremor due to orthostatic hypotension; neurogenic orthostatic hypotension [Shy-Drager. 0): 393 Other digestive system diagnoses with mcc; 394 Other digestive system diagnoses with cc; 395 Other digestive system diagnoses without cc/mcc; Convert T18. In the present study, the clinical features, portohepatic he- modynamics, and hepatic function were investi- gated in a series of 47 patients with cirrhosis. Portal hypertension is increased pressure within the portal venous system. K76. Current newsletters added each quarter. It is a known cause of anemia and acute or insidious gastrointestinal (GI) bleeding as well as esophageal and gastric varices and gastric antral vascular ectasia in these patients (4-6). Current newsletters added each quarter. 8 may differ. 89; portal hypertensive (see also, Hypertension, portal) K31. 451924, member: 405160"]Hi all, What is the code for portal hypertensive gastropathy?[/QUOTE] Hi Senthi, Portal hypertensive gastropathy ICD 10 cm Cod. We commonly see patients presenting with either portal hypertensive gastropathy (PHG) or radiation gastritis. This syndrome is common in the patients with liver cirrhosis or portal hypertension (hypertension, portal). 0 mm in cirrhotics without and with PHG, respectively (P=0. 4, K29. . More than 90% of severe bleeding occurs due to acute portal hypertensive gastropathy, whereas only 10% of severe bleeding is due to mild portal hypertensive gastropathy. Portal hypertension often develops in patients with cirrhosis and may lead to complications such as variceal bleeding and ascites. The past several decades have seen major improvements in the clinical management of complications of portal hypertension, resulting in substantial gains in patient outcomes. 7: Hepatorenal syndrome: Excludes1: hepatorenal syndrome following labor and delivery : postprocedural. 10; ICD-10-CM Codes Adjacent To I85. K76. The 2024 edition of ICD-10-CM M95. . 84. Search Results. ICD-10 code K76. [ Read More ]Search Results. 81 - other international versions of ICD-10 K31. 5,6 When we analyzed the data of 227 patients who visited. Hepatorenal syndrome: Excl1. K. Gastropathy K31. 89 should only be used for claims with a date of service on or before September 30, 2015. Therapy is based upon the use of vasoactive medication to reduce gastric blood flow. 1. This is the American ICD-10-CM version of K31. Personal history of (corrected) gastroschisis. April 1, 2021 Any new ICD-10 codes to capture new diseases or technology will be implemented on April 1, 2021. ICD 10 code for Hepatopulmonary syndrome. 82 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The natural history and risk factors for bleed from GV are not extensively studied as that for esophageal varices. 2016 (effective 10/1/2015): New code (first year of. There are 4 terms under the parent term 'Gastropathy' in the ICD-10-CM Alphabetical Index . 0) appears at code D62 and an Excludes1 note for "acute posthemorrhagic anemia (D62) appears at. 30 may differ. The reported. 1-3 The histological spectrum of NAFLD ranges from nonalcoholic fatty liver (NAFL) to nonalcoholic steatohepatitis (NASH), advanced fibrosis, and cirrhosis. Original posting/updates : 9/9/09, 4/16/10 You are Here: Stanford Medicine » School of Medicine » Departments » Surgical Pathology Criteria » Portal Hypertensive GastropathyThe year 2010 saw a revision of the Japanese General Rules [50]: the new rules added recommendations for diagnosis of portal hypertensive gastropathy and a new grading and classification based on endoscopic ultrasonography. 1. portal hypertensive gastropathy ; ICD-10-CM Diagnosis Code I27. 5 - other international versions of ICD-10 K28. -); Apparent treatment resistant hypertension; Treatment resistant hypertension; True resistant hypertension. Endoscopic view of the gastric mucosa, showing hemorrhagic spots caused by portal hypertensive gastropathy. x [Google Scholar] 6. 89. Portal hypertensive gastropathy (PHG) and colopathy (PHC) are considered complications of portal hypertension. ICD-10 code K31. A total of 105 patients with chronic liver disease and portal hypertension (PH) were included, upper endoscopy was performed, and two duodenal. Portal hypertension:. 89. Intracranial hemorrhage. Portal hypertensive gastropathy and gastric antral vascular ectasia Curr Opin Gastroenterol. ICD-10-CM T18. Ganser's syndrome F44. Diseases of esophagus, stomach and duodenum. This is the American ICD-10-CM version of K28. The 2024 edition of ICD-10-CM K31. The 2024 edition of ICD-10-CM K76. bleeding. Sarin et al reported on 107 patients with portal hypertension of whom 35 had cirrhosis,25 had non-cirrhotic portal fibrosis,46 had extra-hepatic portal vein obstruction, and two had Budd-ChiariIt seems to be endoscopically and histologically similar to portal hypertensive gastropathy, which is well defined. Read the "AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS (ICD-9)" newsletter article titled: "Portal Hypertensive Gastropathy" - Subscription necessary Portal Hypertensive Gastropathy - AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS (ICD-9) / 38 CFR § Andyrutledgedesign. This was the first year ICD-10-CM was implemented into the HIPAA code set. K76. Showing 1-25: ICD-10-CM Diagnosis Code I97. 3-) cirrhosis of liver. As a result, the nutrients from food get right into the liver. ICD 10 code for Hepatopulmonary syndrome. ALL years/issues back to 1984 organized by year and issue. AIM: To describe the pathophysiology, clinical presentation, natural history, and therapy of portal hypertensive gastropathy (PHG) based on a systematic literature review. 89 for Other specified diseases of liver is a medical classification as listed by WHO under the range - Diseases of the digestive system . Digestive chemicals, such as enzymes, acid and bile. [ Read More ] View All. Other diseases of liver (K76) Hepatopulmonary syndrome (K76. A portal pressure gradient of 10 mmHg or more is defined as clinically significant portal hypertension and is the best predictor of the development of complications in cirrhosis [ 1, 6 ]. Gastropathy - K31. 8 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Endoscopic view of the gastric mucosa, showing hemorrhagic spots caused by portal hypertensive gastropathy. The natural history and risk factors for bleed from GV are not extensively studied as that for esophageal varices. 2 (autoerythrocyte sensitization) Gargoylism E76. Acute gastroenteropathy due to Norwalk agent. Preview. Get crucial instructions for accurate ICD-10-CM K31. Hypertension complication after surgery; Postoperative hypertension. Portal hypertensive gastroenterocolopathy is a finding in portal hypertension, whereby chronic portal venous congestion leads to dilatation and ectasia of the submucosal vessels of the stomach (portal hypertensive gastropathy), small bowel (portal hypertensive enteropathy) and/or large bowel (portal hypertensive. The therapy of acute bleeding from portal hypertensive gastropathy is mainly based on drugs that decrease portal pressure. The portal hypertensive gastropathy was graded as severe in 12 patients and mild in 25 patients. 01 [convert to ICD-9-CM] Esophageal varices with bleeding. Background Portal hypertensive gastropathy (PHG) is a frequently overlooked complication of liver cirrhosis (LC). 6 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 8%) of 1496 patient admissions prospectively evaluated by our Gastrointestinal Bleeding Team over a 3-yr period, and accounted for 8% of nonvariceal. 89) ICD-10. code for any associated complications, such as: portal hypertensive gastropathy Figure 3. ICD-Code K76. ICD-10 code K31. 70 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. coined, for the first time in 1985, the term “portal hypertensive gastropathy” for congestion-related gastric mucosal alterations with no inflammation seen during endoscopy [ 5, 6 ]. The wide variation in the reported prevalence is most likely due to differences in the study population specifically, the proportion of patients with non-cirrhotic portal hypertension, the severity of the underlying liver disease, and the proportion of patients with. K31. Portal hypertensive gastropathy refers to changes in the mucosa of the stomach in patients with portal hypertension; by far the most common cause of this is cirrhosis of the liver. METHODS: Computerized search of the literature was performed via PubMed using the following medical subject headings or keywords: “portal” and “gastropathy”; or. Applicable To. Portal hypertensive gastropathy (PHG) and gastric antral vascular ectasia (GAVE) are two conditions occurring in the gastric mucosal and submucosal tissue that share many similar features, making them difficult to differentiate, especially in the presence of liver cirrhosis (1, 2). At endoscopy, the gastric mucosa shows that mosaic-like pattern and red marks, which are the source of gastric bleeding. Coding.