ICD-10 Coding for Dark Stool(K92.1, R19.5)
Complete ICD-10-CM coding and documentation guide for Dark Stool. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Dark Stool
K92.0-K92.9Primary Range
Other diseases of digestive system
This range includes codes for gastrointestinal bleeding, including melena and other fecal abnormalities.
Other symptoms and signs involving the digestive system and abdomen
This range includes codes for unspecified fecal abnormalities, used when the cause of dark stool is not identified.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| K92.1 | Melena | Use when melena is confirmed by clinical tests and documentation specifies black, tarry stools. |
|
| R19.5 | Other fecal abnormalities | Use when the cause of dark stool is not identified after clinical evaluation. |
|
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 dark stool
Essential facts and insights about Dark Stool
Primary ICD-10-CM Codes for dark stool
Decision Criteria
clinical Criteria
- Presence of black, tarry stools with a positive fecal occult blood test.
Applicable To
- Black, tarry stools
- Upper GI bleeding
Excludes
- Hematochezia (K62.5)
Clinical Validation Requirements
- Positive fecal occult blood test
- Drop in hemoglobin levels
Code-Specific Risks
- Incorrectly coding when the source of bleeding is identified and a more specific code is available.
Coding Notes
- Ensure documentation specifies the characteristics of the stool and any associated symptoms.
R19.5 - Other fecal abnormalities
Use when the cause of dark stool is not identified after clinical evaluation.
Applicable To
- Unspecified dark stool
Excludes
- Specific causes of dark stool like melena (K92.1)
Clinical Validation Requirements
- Stool color change documented without identified cause
Coding Notes
Ensure thorough documentation of the workup that led to the use of this unspecified code.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Long term (current) use of non-steroidal anti-inflammatories (NSAID)
Z79.02Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Dark Stool to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K92.1.
Impact
Clinical: May lead to inappropriate treatment., Regulatory: Non-compliance with coding standards., Financial: Potential for claim denials.
Mitigation Strategy
Ensure thorough clinical evaluation before coding., Consult with a specialist if diagnosis is unclear.
Impact
Reimbursement: Avoids incorrect DRG assignment and potential denials., Compliance: Ensures adherence to coding guidelines., Data Quality: Improves accuracy of clinical data.
Mitigation Strategy
Use the combination code K25.0 alone.
Impact
Failure to use combination codes when applicable.
Mitigation Strategy
Regular training on coding guidelines and 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 Dark Stool, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Dark Stool
Use these documentation templates to ensure complete and accurate documentation for Dark Stool. These templates include all required elements for proper coding and billing.
Emergency Department Presentation
Specialty: GastroenterologyRequired Elements
- Onset and duration of symptoms
- Stool characteristics
- Associated symptoms
- Medication history
- Lab results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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