ICD-10 Coding for Gastric Bleed(K25.0, K92.2)
Complete ICD-10-CM coding and documentation guide for Gastric Bleed. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Gastric Bleed
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| K25.0 | Acute gastric ulcer with hemorrhage | Use when bleeding is confirmed to be from a gastric ulcer. |
|
| K92.2 | Unspecified gastrointestinal hemorrhage | Use when the source of gastrointestinal bleeding is not identified. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for gastric bleed
Essential facts and insights about Gastric Bleed
Primary ICD-10-CM Codes for gastric bleed
Decision Criteria
clinical Criteria
- Confirmed gastric ulcer with active bleeding
Applicable To
- Acute gastric ulcer with bleeding
Excludes
- Chronic gastric ulcer with hemorrhage (K25.4)
Clinical Validation Requirements
- Documentation linking bleeding to a gastric ulcer
- Endoscopic findings confirming ulcer
Code-Specific Risks
- Incorrectly coding when ulcer is not confirmed as bleeding source
Coding Notes
- Ensure documentation explicitly links the ulcer to the bleeding.
K92.2 - Unspecified gastrointestinal hemorrhage
Use when the source of gastrointestinal bleeding is not identified.
Applicable To
- GI bleed of unknown origin
Excludes
- Specific site of bleeding identified
Clinical Validation Requirements
- No identifiable source of bleeding on endoscopy
Coding Notes
Ensure thorough investigation is documented before using this code.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Iron deficiency anemia secondary to blood loss (chronic)
D50.0Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Gastric Bleed to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K25.0.
Impact
Clinical: Inaccurate diagnosis, Regulatory: Non-compliance with coding standards, Financial: Potential for denied claims
Mitigation Strategy
Ensure all procedures are documented, Review endoscopy reports thoroughly
Impact
Reimbursement: Potentially lower reimbursement due to unspecified codes, Compliance: Non-compliance with coding guidelines, Data Quality: Decreased accuracy in clinical data
Mitigation Strategy
Use specific codes like K25.0 when documentation supports it.
Impact
High risk of audit if unspecified codes are used without justification.
Mitigation Strategy
Use specific codes when documentation supports it.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Gastric Bleed, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Gastric Bleed
Use these documentation templates to ensure complete and accurate documentation for Gastric Bleed. These templates include all required elements for proper coding and billing.
Acute Gastric Bleed
Specialty: GastroenterologyRequired Elements
- History of present illness
- Endoscopic findings
- Laboratory results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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