ICD-10 Coding for Bleeding(K25.01, D68.32)
Complete ICD-10-CM coding and documentation guide for Bleeding. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Bleeding
K25-K28Primary Range
Peptic ulcer disease with hemorrhage
This range includes codes for peptic ulcers with bleeding, which are common causes of gastrointestinal hemorrhage.
Hemorrhagic disorders due to extrinsic circulating anticoagulants
This range is relevant for bleeding disorders induced by anticoagulant therapy.
Gastrointestinal hemorrhage, unspecified
Used when the source of GI bleeding is not specified or documented.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| K25.01 | Acute gastric ulcer with hemorrhage | Use when there is documented evidence of a bleeding gastric ulcer. |
|
| D68.32 | Hemorrhagic disorder due to extrinsic circulating anticoagulants | Use when bleeding is directly attributed to anticoagulant therapy. |
|
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 bleeding due to anticoagulants
Essential facts and insights about Bleeding
Primary ICD-10-CM Codes for bleeding
Decision Criteria
clinical Criteria
- Endoscopic evidence of bleeding
documentation Criteria
- Explicit mention of hemorrhage in medical records
Applicable To
- Bleeding gastric ulcer
Excludes
- Gastric ulcer without bleeding
Clinical Validation Requirements
- Endoscopic confirmation of bleeding ulcer
- Drop in hemoglobin levels
Code-Specific Risks
- Misclassification if bleeding is not confirmed endoscopically
Coding Notes
- Ensure documentation specifies bleeding to use this code.
D68.32 - Hemorrhagic disorder due to extrinsic circulating anticoagulants
Use when bleeding is directly attributed to anticoagulant therapy.
Applicable To
- Bleeding due to anticoagulant therapy
Excludes
- Bleeding not related to anticoagulants
Clinical Validation Requirements
- INR >3.5 or specific drug levels
- Documentation of anticoagulant use
Coding Notes
Ensure INR levels and anticoagulant use are documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Bleeding to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K25.01.
Impact
Clinical: May lead to inappropriate treatment decisions., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims or reduced reimbursement.
Mitigation Strategy
Ensure INR levels are recorded in the patient's chart., Educate staff on the importance of documenting anticoagulant use.
Impact
Reimbursement: May lead to lower reimbursement due to lack of specificity., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Ensure documentation specifies the source or use a more specific code.
Impact
Risk of incorrect coding without proper documentation of INR levels.
Mitigation Strategy
Implement checks for INR documentation in patient records.
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 Bleeding, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Bleeding
Use these documentation templates to ensure complete and accurate documentation for Bleeding. These templates include all required elements for proper coding and billing.
GI Bleeding in Emergency Department
Specialty: GastroenterologyRequired Elements
- Description of bleeding (e.g., hematemesis, melena)
- Endoscopic findings
- Hemodynamic status
- Anticoagulation status
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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