ICD-10 Coding for Acute Gastrointestinal Bleed(K25.0, K92.2)
Complete ICD-10-CM coding and documentation guide for Acute Gastrointestinal Bleed. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Acute Gastrointestinal 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 an endoscopy confirms a gastric ulcer with active hemorrhage. |
|
| K92.2 | Unspecified gastrointestinal hemorrhage | Use when the source of GI bleeding is not identified after diagnostic workup. |
|
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 acute gastrointestinal bleed
Essential facts and insights about Acute Gastrointestinal Bleed
Primary ICD-10-CM Codes for acute gastrointestinal bleed
Decision Criteria
clinical Criteria
- Endoscopic evidence of bleeding ulcer
documentation Criteria
- Explicit mention of gastric ulcer with hemorrhage
Applicable To
- Forrest Ia/Ib ulcer
- Oozing blood
- Visible vessel
Excludes
- Chronic gastric ulcer with hemorrhage
Clinical Validation Requirements
- Endoscopic confirmation of ulcer
- Active bleeding observed
Code-Specific Risks
- Incorrectly coding as unspecified GI bleed
Coding Notes
- Ensure documentation specifies the ulcer type and bleeding status.
K92.2 - Unspecified gastrointestinal hemorrhage
Use when the source of GI bleeding is not identified after diagnostic workup.
Applicable To
- GI bleed with no identified source
Excludes
- Specific ulcer or variceal bleeding
Clinical Validation Requirements
- Negative endoscopy or imaging for specific source
Coding Notes
Ensure all diagnostic tests are documented as negative for specific sources.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Acute posthemorrhagic anemia
D62Differential 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 Acute Gastrointestinal 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: Leads to inaccurate clinical records., Regulatory: May result in coding audits., Financial: Potentially lower reimbursement rates.
Mitigation Strategy
Review endoscopy and imaging results before coding., Ensure documentation specifies the source.
Impact
Reimbursement: Incorrect sequencing can lead to lower DRG reimbursement., Compliance: May trigger audits due to improper coding practices., Data Quality: Affects the accuracy of clinical data and reporting.
Mitigation Strategy
Sequence the hemorrhage as the principal diagnosis if it is the primary reason for admission.
Impact
Using K92.2 when a specific source is documented.
Mitigation Strategy
Regular training on documentation and coding updates.
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 Acute Gastrointestinal Bleed, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Acute Gastrointestinal Bleed
Use these documentation templates to ensure complete and accurate documentation for Acute Gastrointestinal Bleed. These templates include all required elements for proper coding and billing.
Acute upper GI bleed with gastric ulcer
Specialty: GastroenterologyRequired Elements
- Onset and symptoms
- Endoscopy findings
- Hemoglobin levels
- Treatment provided
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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