ICD-10 Coding for Gastrointestinal Hemorrhage(K92.2, K25.0, K57.31)
Complete ICD-10-CM coding and documentation guide for Gastrointestinal Hemorrhage. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Gastrointestinal Hemorrhage
K92.0-K92.2Primary Range
Other diseases of digestive system
This range includes codes for unspecified gastrointestinal hemorrhage and other related conditions.
Gastric, duodenal, and peptic ulcers with hemorrhage
This range includes specific codes for ulcers with bleeding, which are often primary when the source is confirmed.
Diverticular disease of intestine with hemorrhage
This range includes codes for diverticulosis with bleeding, used when diverticulosis is the confirmed source.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| K92.2 | Unspecified gastrointestinal hemorrhage | Use when the source of bleeding is not identified or documented. |
|
| K25.0 | Gastric ulcer with hemorrhage | Use when a gastric ulcer is confirmed as the source of bleeding. |
|
| K57.31 | Diverticulosis of large intestine with hemorrhage | Use when diverticulosis is confirmed as the source of bleeding. |
|
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 gastrointestinal hemorrhage
Essential facts and insights about Gastrointestinal Hemorrhage
Primary ICD-10-CM Codes for gastrointestinal hemorrhage
Decision Criteria
clinical Criteria
- No specific source identified after diagnostic procedures
documentation Criteria
- Absence of terms like 'melena' or 'hematemesis' in the record
Applicable To
- GI bleeding NOS
Excludes
- Bleeding from a specific site (e.g., gastric ulcer)
Clinical Validation Requirements
- Negative endoscopy/imaging
- Absence of specific bleeding terms like melena or hematemesis
Code-Specific Risks
- Overuse when specific source is documented
Coding Notes
- Ensure documentation supports the use of an unspecified code.
K25.0 - Gastric ulcer with hemorrhage
Use when a gastric ulcer is confirmed as the source of bleeding.
Applicable To
- Bleeding gastric ulcer
Excludes
- Gastric ulcer without bleeding
Clinical Validation Requirements
- Endoscopy report confirming gastric ulcer with bleeding
- Hemoglobin drop indicating acute blood loss
Coding Notes
Document the ulcer's location and bleeding status clearly.
K57.31 - Diverticulosis of large intestine with hemorrhage
Use when diverticulosis is confirmed as the source of bleeding.
Applicable To
- Bleeding diverticulosis
Excludes
- Diverticulosis without bleeding
Clinical Validation Requirements
- Colonoscopy confirming diverticulosis with bleeding
- Clinical symptoms like hematochezia
Coding Notes
Ensure colonoscopy findings are documented.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Gastric ulcer with hemorrhage
K25.0Diverticulosis of large intestine with hemorrhage
K57.31Unspecified gastrointestinal hemorrhage
K92.2Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Gastrointestinal Hemorrhage to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K92.2.
Impact
Clinical: Inaccurate clinical records, Regulatory: Non-compliance with coding standards, Financial: Potential for reduced reimbursement
Mitigation Strategy
Ensure detailed documentation of diagnostic findings, Link symptoms to specific conditions
Impact
Reimbursement: May lead to lower DRG assignment and reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Reduces accuracy of clinical data.
Mitigation Strategy
Use specific codes like K25.0 or K57.31 when the source is confirmed.
Impact
High risk of audit when unspecified codes are used without proper justification.
Mitigation Strategy
Ensure documentation supports the use of unspecified codes.
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 Gastrointestinal Hemorrhage, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Gastrointestinal Hemorrhage
Use these documentation templates to ensure complete and accurate documentation for Gastrointestinal Hemorrhage. These templates include all required elements for proper coding and billing.
Upper GI Bleed
Specialty: GastroenterologyRequired Elements
- History of present illness
- Past medical history
- Lab results
- Endoscopy findings
- Assessment and plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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