ICD-10 Coding for Gastrointestinal Bleeding(K92.2, K25.4)
Complete ICD-10-CM coding and documentation guide for Gastrointestinal Bleeding. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Gastrointestinal Bleeding
K92.0-K92.2Primary Range
Other diseases of digestive system
This range includes codes for unspecified gastrointestinal bleeding, hematemesis, and melena.
Peptic ulcer diseases with hemorrhage
This range includes specific codes for peptic ulcers with hemorrhage.
Other diseases of intestines
Includes codes for conditions like diverticulosis and angiodysplasia with bleeding.
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 | Gastrointestinal hemorrhage, unspecified | Use when GI bleeding is present but the source is not identified. |
|
| K25.4 | Gastric ulcer with hemorrhage | Use when a gastric ulcer is documented with active 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 bleeding
Essential facts and insights about Gastrointestinal Bleeding
Primary ICD-10-CM Codes for gastrointestinal bleeding
Decision Criteria
clinical Criteria
- GI bleeding present without identified source
documentation Criteria
- Endoscopy or imaging does not reveal specific source
Clinical Validation Requirements
- Documentation of GI bleeding without a specified source after diagnostic procedures.
Code-Specific Risks
- Risk of overuse if specific bleeding source is identified but not documented.
Coding Notes
- Ensure documentation specifies the lack of identifiable source if using K92.2.
K25.4 - Gastric ulcer with hemorrhage
Use when a gastric ulcer is documented with active bleeding.
Applicable To
- Bleeding gastric ulcer
Excludes
- Gastric ulcer without hemorrhage or perforation (K25.9)
Clinical Validation Requirements
- Endoscopic confirmation of bleeding gastric ulcer.
Coding Notes
Document the ulcer and bleeding relationship clearly.
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 Gastrointestinal Bleeding to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K92.2.
Impact
Clinical: May lead to inappropriate treatment if source is not communicated., Regulatory: Non-compliance with documentation standards., Financial: Potential for reduced reimbursement due to lack of specificity.
Mitigation Strategy
Ensure endoscopy reports are detailed., Use specific language in clinical notes.
Impact
Reimbursement: May lead to lower reimbursement if specificity affects DRG assignment., Compliance: Non-compliance with coding guidelines requiring specificity., Data Quality: Reduces data accuracy for clinical and research purposes.
Mitigation Strategy
Always use the most specific code available based on documentation.
Impact
Audits may focus on the specificity of codes used for GI bleeding.
Mitigation Strategy
Ensure all documentation clearly links bleeding to specific conditions.
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 Bleeding, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Gastrointestinal Bleeding
Use these documentation templates to ensure complete and accurate documentation for Gastrointestinal Bleeding. These templates include all required elements for proper coding and billing.
Acute GI Bleeding in Emergency Department
Specialty: Emergency MedicineRequired Elements
- Presenting symptoms
- Vital signs
- Diagnostic findings
- Treatment provided
- Follow-up plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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