To read the full article, sign in and subscribe to AHA Coding Clinic ® for ICD-10-CM and ICD-10-PCS . This pressure gradient is normally less than or equal to 5 mmHg. 81 may differ. 89)Figure 3. pylori) infection and Portal hypertensive gastropathy (PHG) is still a debatable matter. This article reviews the clinical features, diagnosis, pathophysiology, and management of PHE, and compares it with other forms of autoimmune enteropathy. Portal hypertension is increased pressure within the portal venous system. 61 became effective on October 1, 2023. Mental confusion or disorientation. abdominal pain or discomfort. . 8 became effective on October 1, 2023. ICD-10-CM Diagnosis Code H35. . Most patients bleed from esophageal or gastric varices, but bleeding from ectopic varices or portal hypertensive gastropathy is also possible. Patients with portal hypertension may experience bleeding from the stomach, and pharmacologic or radiologic interventional procedure may be useful in preventing re-bleeding from PHG. A patient was diagnosed with stomach aderlass due to erosive gastritis real portal hypertensive gastropathy. 059 [convert to ICD-9-CM] Ocular hypertension, unspecified eye. A total of 105 patients with chronic liver disease and portal hypertension (PH) were included, upper endoscopy was performed, and two duodenal. 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. ICD-Code K76. Endoscopic view of the gastric mucosa, showing hemorrhagic spots caused by portal hypertensive gastropathy. com - Schedule of ratings—digestive system. Portal hypertensive gastropathy (PHG) is a well-defined endoscopic finding of advanced chronic liver disease. Full Archives - over 3100 articles. : hepatorenal syndrome following labor and delivery postprocedural hepatorenal syndrome : K76. 21 [convert to ICD-9-CM] Secondary pulmonary arterial hypertension. 20 [convert to ICD-9-CM] Pulmonary hypertension, unspecified. Although the prevalence of PHG in cirrhotic patients ranges from 20% to 80%, only 10–15% of PHG patients develop significant gastric bleeding [1], [2]. Use additional code: code for any associated complications, such as: portal hypertensive gastropathy (K31. 89. Use Additional. ICD 10 CM - Coding Cases - Chapters 19 & 20. K76. This section shows you chapter-specific coding guidelines to increase your understanding and correct usage of the target ICD-10-CM Volume 1 code. No ads, no spam, and it's free for everybody. 89) The use of ICD-10 code K76. 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. associated conditions if applicable, or adverse effects of drugs or toxins, such as:; adverse effect of appetite depressants. 311A [convert to ICD-9-CM] Laceration of portal vein, initial encounter. 9 became effective on October 1, 2023. code for any associated complications, such as:; portal hypertensive gastropathy (K31. 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). The Icd-10 code range for Diseases of esophagus, stomach and duodenum K20-K31 is medical classification list by the World Health Organization (WHO). Gastric antral vascular ectasia (GAVE. Get crucial instructions for accurate ICD-10-CM K76 coding with all applicable Excludes 1 and Excludes 2 notes from the section level conveniently shown with each code. 0 [convert to ICD-9-CM] Hypertensive urgency. 70 - other international versions of. Coding. What is the correct code assignment for portal hypertensive gastropathy?. The "excludes2" note at code J44. Portal hypertension. 6 Portal Hypertension Use additional code for any associated complications, such as: portal hypertensive gastropathy (K31. Excision of Portal Vein, Open ApproachPortal Hypertension. Gastric antral vascular ectasia ( GAVE) is an uncommon cause of chronic gastrointestinal bleeding or iron deficiency anemia. 0 mm in cirrhotics without and with PHG, respectively (P=0. RESULTS Of the portal hypertensive patients, 54 (51. ICD-10-CM Diagnosis Code K75. Non-cirrhotic portal hypertension is covered by this diagnostic code, as is portal hypertensive gastropathy, a condition diagnosed based on non-specific endoscopic findings, raising the possibility that it might be over-diagnosed. This is the American ICD-10-CM version of K28. 24 [convert to ICD-9-CM] Chronic thromboembolic pulmonary hypertension. Portal hypertension. The official AHA publication for ICD-10-CM and ICD-10-PCS coding guidelines and advice. . 6 Portal hypertension - icdcode. 0 [convert to ICD-9-CM] Hypertensive heart disease with heart failure. The term portal hypertensive gastropathy (PHG) defines a wide spectrum of diffuse macroscopic lesions that appear in the gastric mucosa of patients with portal hypertension. The ICD code K766. Portal hypertensive gastropathy (PHG) and gastric antral vascular ectasia (GAVE) syndrome are recently characterised entities that can be associated with gastrointestinal blood loss in patients with and without cirrhosis. 1. There is an increased. [Effective 20 Jul 2011. ICD-10 code K76. [ Read More ] View All. associated conditions if applicable, or adverse effects of drugs or toxins, such as:; adverse effect of appetite depressants (T50. . Showing 1-25: ICD-10-CM Diagnosis Code I97. 311A. 9 coding with all applicable Excludes 1 and Excludes 2 notes from the section level conveniently shown with each code. ICD-10-CM Codes. Patients with PHG also present with upper GI bleeding. Short description: Oth acquired deformities of musculoskeletal system. Abstract. Portal hypertensive gastropathy: Hernia: Inguinal (Indirect, Direct) - Femoral - Umbilical - Incisional - Diaphragmatic - Hiatus:Varices and portal hypertensive gastropathy (PHG) can develop as complications of portal hypertension (PH) in patients with cirrhosis. 81. INTRODUCTION. One consequence of chronic liver disease can be portal hypertension. [/b] [QUOTE="Senthil, post: 451924, member: 405160"]Hi all, What is the code for portal hypertensive gastropathy?[/QUOTE] Hi Senthi, Portal hypertensive gastropathy ICD. 6-) ICD-10-CM. ICD-10-CM Diagnosis Code I27. Portal hypertension. 81 for Hepatopulmonary syndrome is a medical classification as listed by WHO under the range - Diseases of the digestive system . 81 - other international versions of ICD-10 K31. Chronic venous hypertension (idiopathic) with ulcer and inflammation. ICD-10-CM Diagnosis Code H40. 89; specified NEC K31. portal hypertensive gastropathy ; ICD-10-CM Diagnosis Code O11. 1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. K76. Abstract: The development of clinically significant portal hypertension (CSPH) in patients with chronic liver disease is an important predictor of varices, variceal hemorrhage, ascites, hepatic encephalopathy, and death. 84. 89) ICD-10. The first line treatment is non-selective beta-blockers. ICD-10 code K31. The natural history of portal hypertensive gastropathy in patients with liver cirrhosis and mild portal hypertension. Its prevalence has been reported to range from 11% to 98%. 8 - other international versions of ICD-10. 9: Disease, diseased - see. 33. K76. Pathophysiology of. ICD-10 K76. 1111/j. We retrospectively analyzed endoscopic findings and the portal venous system of 31 cirrhotic patients with PHG. 9 is a billable diagnosis code used to specify disease of stomach and duodenum, unspecified. 89; Information for Patients. This is the American ICD-10-CM version of I85. 2007 Dec;102 (12):2793-802. Acute gastroenteropathy due to Norwalk agent. [. No varices seen. ICD-10 code K76. 6. 81 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. MELD scores were similar in patients with. 2007. Portal hypertensive gastropathy can. 3-) cirrhosis of liver. 81 for Angiodysplasia of stomach and duodenum is a medical classification as listed by WHO under the range - Diseases of the digestive system . 3 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 572. 2006. Mental confusion or disorientation. 89)K76. This free tool is designed to help billers and coders navigate the new ICD-10-CM code set. 89 Rationales: CPT®: To code an endoscopy, we need to know the type of scope used (rigid or flexible); approach (transoral or transnasal) and thePortal hypertensive gastropathy (PHG) is part of a complex syndrome which occurs as a complication of chronic liver disease and portal hypertension (PHTN). 89 for Other specified diseases of liver is a medical classification as listed by WHO under the range - Diseases of the digestive system . 81: Hepatopulmonary syndrome: Code first: underlying liver disease, such as: alcoholic cirrhosis of liver (K70. 2 [convert to ICD-9-CM]Portal hypertension most commonly develops in the setting of chronic liver injury with cirrhosis and typically is the result of a combination of an increase in resistance to portal blood flow and an increase in portal blood flow. But. The addition of ICD-10-AM codes for specific cirrhosis-related complications in a stepwise algorithm reduced the potential for missing cases of cirrhosis, at the expense of increasing the number of false-positives (particularly encounters in patients with non-cirrhotic portal hypertension). 309. 70 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 311A. Bloated. Hepatic encephalopathy. ICD-10-CM K76. 6 is a billable ICD code used to specify a diagnosis of portal hypertension. underlying liver disease, such as: acute and subacute hepatic failure without coma (K72. This is the American ICD-10-CM version of B65. 0 [convert to ICD-9-CM] Elevated blood-pressure reading, without diagnosis of hypertension. ICD-10-CM Diagnosis Code H40. 5 - other international versions of ICD-10 K28. -, I27. Endoscopic view of the gastric mucosa, showing hemorrhagic spots caused by portal hypertensive gastropathy. However. Portal hypertensive gastropathy; Post-vagotomy lesser curve necrosis; Pyloric antral vascular ectasia; Rolling hiatus hernia with gastric volvulus;portal hypertensive gastropathy ; ICD-10-CM Diagnosis Code I27. This is the American ICD-10-CM version of K31. 2 [convert to ICD-9-CM] Portal hypertension most commonly develops in the setting of chronic liver injury with cirrhosis and typically is the result of a combination of an increase in resistance to portal blood flow and an increase in portal blood flow. 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. Antral motility in patients with cirrhosis with or without gastric antral vascular ectasia. it Keywords: esophageal varices, gastric varices, gastrointestinal bleeding, hypertensive colopathy, portal hypertension, portalI85. portal hypertensive gastropathy ; ICD-10-CM Diagnosis Code K31. [ Read More ] View All. [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. 0): 698 Other kidney and urinary tract diagnoses with mcc; 699 Other kidney and urinary tract diagnoses with cc; 700 Other kidney and urinary tract diagnoses without cc/mcc; Convert Z49. Short description: Oth acquired deformities of musculoskeletal system. The pathophysiology of PHG is. The 2024 edition of ICD-10-CM K82. 0 - K64. portal hypertensive gastropathy : K76. 89 - other diseases of stomach and duodenum Epidemiology 20 - 98% prevalence in patients with liver cirrhosis ( Gastroenterology 2000;119:181 ) Wide range of prevalence is related to the variability of the characterization criteria of the disease Risk factors: Schistosomiasis Heart failure Sites ICD-10-CM Diagnosis Code H35. 5X5); congenital heart disease (Q20-Q28); human immunodeficiency. However, PHG can occur in. [ Read More ] View All. 3 was previously used, K76. gov. code for any associated complications, such as: portal hypertensive gastropathy ()Read the "AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS (ICD-9)" newsletter article titled: "Portal Hypertensive Gastropathy" - Subscription requiredPortal hypertensive gastropathy (PHG) is a common complication of liver cirrhosis and is often underestimated in clinical diagnosis []. Final diagnoses: (1) Bleeding esophageal varices due to. ICD-10 code K76. 8. Unspecified maternal hypertension, comp the puerperium. Predisposing risk factors for PHD are difficult to pinpoint. Gastritis and duodenitis (K29) K28. Other diseases of stomach and duodenum. GI bleeding in cirrhotic patients. The colopathy histologically appears as dilatation of mucosal blood vessels and is classified into four different types by Ito et al[ 38 ], including solitary vascular ectasias, diffuse vascular ectasias, erythema, and blue vein. Portal hypertensive gastropathy and gastric antral vascular ectasia Curr Opin Gastroenterol. Portal hypertensive gastropathy (PHG) is a common endoscopic finding in patients with cirrhosis and represents a relevant cause of upper gastrointestinal (GI) bleeding [1, 2]. 82 may differ. 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. 10; schistosomiasis I85. 6 - Portal hypertension [Billable] Use Additional Code code for any associated. Min YW, Bae SY, Gwak GY, Paik YH, Choi MS, Lee JH, et al. The portal hypertensive gastropathy was graded as severe in 12 patients and mild in 25 patients. 70 became effective on October 1, 2023. 6 - Portal hypertension | ICD-10-CM ICD-10-CM K76. 3 for Infarction of liver is a medical classification as listed by WHO under the range - Diseases of the digestive system . 89; erythematous 535. 423 results found. 1 - Chronic passive congestion of liver. Diseases of liver. Atrophy of scrotum, seminal vesicle, spermatic cord, tunica vaginalis and vas deferens; Chylocele, tunica vaginalis (nonfilarial) NOSICD 10 code for Secondary pulmonary arterial hypertension. 30 became effective on October 1, 2023. ICD-10-CM Diagnosis Code I15. venous pressure 459. 500 results found. Epidemiology. Applicable To. 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 . April 9, 2021 Deadline for receipt of public comments on proposed new codes and revisions discussed at the March 9-10, 2021 ICD-10 CoordinationIn the United States, reactive gastropathy is present in about 2 percent of children younger than age 10 and in more than 20 percent of adults older than age 80. Increased susceptibility to side effects from ingested toxins, such as medications, foods, and alcohol. The prevalence of PHG in patients with portal hypertension has been reported to vary between 20% and 80% 1, 9-12. . Parent Code: K76 - Other diseases of liver. For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. The blood then flows through the liver. associated pulmonary embolism, if applicable (I26. Benign secondary hypertension; Hypertension, due to another condition; Hypertension, secondary; Secondary hypertension. Phlebitis of portal vein. Hypertension complication after surgery; Postoperative hypertension. This is the American ICD-10-CM version of E78. K76. Am J Gastroenterol. a premature feeling of fullness during a meal. 89 [convert to ICD-9-CM] Other diseases of stomach and duodenum. 9 became effective on October 1, 2023. The natural history of portal hypertensive gastropathy in patients with liver cirrhosis and mild portal hypertension. Search All ICD-10 Toggle Dropdown. Hypertension complication after surgery; Postoperative hypertension. 1. 8. Showing 1-25: ICD-10-CM Diagnosis Code I67. The portal vein drains blood from the small and large intestines, stomach, spleen, pancreas, and gallbladder. The portal trunk divides into 2 lobar veins. Subscribe to Codify by AAPC and. . 8 may differ. This review describes the differences between the mechanisms of cirrhotic portal hypertension (PHT) and PHT in non-cirrhotic NAFLD. 0 for Acute dilatation of stomach is a medical classification as listed by WHO under the range -Diseases of esophagus, stomach and duo. Jun 6, 2012. Gastropathy K31. Toggle navigation. 118A to ICD-9-CM. ICD-10 code K76 for Other diseases of liver is a medical classification as listed by WHO under the range - Diseases of the digestive system . K76. 10; toxic liver disease I85. 8) K76. Code History. 9 contain annotation back-references that may be applicable to K31. 24 [convert to ICD-9-CM] Chronic thromboembolic pulmonary hypertension. 2013 Aug 21;19 (31):5035-50. 1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Loss of blood flow to your stomach lining. 9 for Disease of stomach and duodenum, unspecified is a medical classification as listed by WHO under the range - Diseases of the digestive system . [ 4] is used for endoscopic findings (Table 46. 3: Increase, increased. ICD-10-CM Diagnosis Code K31. portal hypertensive gastropathy ; ICD-10-CM Diagnosis Code I27. 9, including coding notes, detailed descriptions, index cross-references and ICD-10-CM conversion. Gastrointestinal bleeding accounts for up to 25% of overall mortality in patients with cirrhosis. Portal hypertensive gastropathy: Clinical history (portal hypertension) and specific endoscopic findings Additional references. The following code (s) above K31. ICD. 0):ICD-10-CM Diagnosis Code Z87. ICD-10 code K31. 9is assigned for the acute bronchitis to identify the infection. Currently rated 4. 1, 535. Radiation therapy and chemotherapy. 89. 9 : K00-K95. 051 [convert to ICD-9-CM] Ocular hypertension, right eye. Upper endoscopy done for further evaluation revealed grade 2-3 esophageal varices and elongated cascade stomach consistent with congestive portal. Other diseases of stomach and duodenum. Portal hypertensive gastropathy has also been proposed as a marker for the diagnosis of portal hypertension, with conflicting results. The official AHA publication for ICD-10-CM and ICD-10-PCS coding guidelines and advice. Showing 1-25: ICD-10-CM Diagnosis Code I27. 9 - other international versions of ICD-10 B65. 0, J44. , if applicable, associated hypertensive conditions such as:; essential (primary) hypertension (I10); hypertensive chronic kidney disease (I12. K76. 3. Get crucial instructions for accurate ICD-10-CM K31. 9 : K00-K95. portal hypertensive gastropathy ; gastropathy K31. Portal hypertensive gastropathy (PHG) and colopathy (PHC) are considered complications of portal hypertension. 6 ICD-9 572. Gastric varices and portal hypertensive gastropathy (PHG) are an important complication of both generalized and segmental portal hypertension. The improved group was defined as the amelioration of PHG findings using the McCormack classification. McCormack et al. Some causes include: Ingested substances, such as alcohol and drugs. ICD 10 code for Hepatopulmonary syndrome. Bilateral hypertensive retinopathy; Hypertensive retinopathy, both eyes. 9 - Liver disease, unspecified. 10; secondary I85. 69. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code K76. This is the American ICD-10-CM version of K31. This entity is being increasingly recognized and better understood over the past decade due to increased accessibility of the small intestine. Confirming the diagnosisPortal hypertensive gastropathy (PHG) is characterized as lesions caused in the inner surface of the mucous layer of the stomach. 11 [convert to ICD-9-CM] Secondary esophageal varices with bleeding. Portal hypertension. Use additional code for any associated complications, such as: portal hypertensive gastropathy (K31. 82 for Dieulafoy lesion (hemorrhagic) of stomach and duodenum is a medical classification as listed by WHO under the range -Diseases o. Blood in poop. Bleeding esophageal varices. This is the American ICD-10-CM version of K29. K30. 00); alcoholic hepatic failure without coma (K70. Current newsletters added each quarter. 053. Select the associated ICD-10 code to view any special notations from the Tabular List. 3 should only be used for claims with a date of service on or before September 30, 2015. The rate of occurrence of. 21. In patients with. The first noticeable symptoms of portal hypertension are usually related to new, enlarged, leaky and bleeding veins, such as: Blood in vomit. 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 - other international versions of ICD-10. 4 for Peliosis hepatis is a medical classification as listed by WHO under the range - Diseases of the digestive system . 761. ICD-10-CM Codes. ICD-10-CM Diagnosis Code S35. Portal hypertension is a major complication of cirrhosis, leading to esophageal varices (EV), ascites, hepatic hydrothorax, hepatic encephalopathy (HE), portal hypertensive gastropathy (PHG), and other complications. The therapy of acute bleeding from portal hypertensive gastropathy is mainly based on drugs that decrease portal pressure. 80 may differ. R01 DK113159/DK/NIDDK NIH HHS/United States. K76. 88 Other specified diseases of stomach and duodenum. ICD. . Figure 3. A 'billable code' is detailed enough to be used to specify a medical diagnosis. PHG mainly affects the mucosa, or lining, of the stomach. 1 ). Its sensitivity, positive predictive value (PPV) and negative predictive value (NPV) vary considerably among studies, but its specificity has been reported to be above 95% ( 14, 43 ). Disorder of function of stomach; Gastroptosis. ICD-10 code K31. Ganister disease J62. This was the first year ICD-10-CM was implemented into the HIPAA code set. 89 Other diseases of stomach and duodenumPortal hypertension manifests with a wide range of clinical features, including ascites, gastrointestinal hemorrhage, intra-abdominal varices, splenomegaly, pancytopenia, caput medusa, porto-pulmonary hypertension, hepatopulmonary syndrome, and cardiac abnormalities []. 0 [convert to ICD-9-CM]Free, official information about 2012 (and also 2013-2015) ICD-9-CM diagnosis code 537. ICD-10-CM Alphabetical Index References for 'K31. [. This blood vessel is the portal vein. Diseases of esophagus, stomach and duodenum. ICD-10-CM 10th Revision 2016 CIE-10 ICD-10 español. 60 - other gastritis without bleeding Epidemiology. Core tip: Portal hypertensive gastropathy (PHG) is diagnosed by characteristic endoscopic findings of variably erythematous, small, polygonal areas surrounded by a whitish, reticular border in a mosaic pattern in the gastric fundus/body in a patient with portal hypertension of any etiology. AHA Coding Clinic ® for ICD-9 - 2005 Issue 3; Ask the Editor Congestive Portal Gastropathy. 8% of patients having chronic bleeding and only 2. As portal pressure. Patients with liver cirrhosis and portal hypertension are widely accepted to be at risk of developing acute upper gastrointestinal bleeding. ICD coding. doi: 10. The mortality and morbidity risks commonly found with. 82 became effective on October 1, 2023. Synonyms: disorder of duodenum, disorder of stomach, erosive. 051. FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. Select the associated ICD-10 code to view any. ICD-10-CM T18. Wherever such a combination exists, there is a "use. This is the American ICD-10-CM version of K70. ICD-9-CM 572. 500 results found. 451924, member: 405160"]Hi all, What is the code for portal hypertensive gastropathy?[/QUOTE] Hi Senthi, Portal hypertensive gastropathy ICD 10 cm Cod. . The blood is then conducted from the liver to the heart. 2004. The clinical implications of PHG as a prognostic factor of LC or a predictive factor for the development of hepatocellular carcinoma (HCC) have not been established. On analysis of PHD versus other endoscopic findings in patients with portal hypertension, Barakat et al. Portal Hypertension. 8 [convert to ICD-9-CM] Other secondary hypertension. 3 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 572. Esophageal varices with bleeding, associated with another disorder. [1] [2] The condition is associated with dilated small blood vessels in the pyloric antrum, which is a distal part of the stomach. 059 [convert to ICD-9-CM] Ocular hypertension, unspecified eye. The term portal hypertensive gastropathy (PHG) defines a wide spectrum of diffuse macroscopic lesions that appear in the gastric mucosa of patients with portal hypertension. A-HA Coding Clinic ® for ICD-10-CM and ICD-10-PCS - 2020 Issue 1; Ask the Editor Portal Hypertensive Gastropathy. 6: Thrombocytopenia: D73. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code (or codes). Code History. 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. ICD-10-CM Codes. This disrupts the flow of blood to your stomach lining. 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. Approximately 65–90% of those patients have mild PHG whereas 10–25% of patients have severe PHG.