ICD-10 Coding for Gastrointestinal Blood Loss(K25.0, D62)
Complete ICD-10-CM coding and documentation guide for Gastrointestinal Blood Loss. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Gastrointestinal Blood Loss
K25-K28Primary Range
Ulcer of stomach and duodenum
Covers specific ulcers with hemorrhage, primary for GI bleeding linked to ulcers.
Diverticular disease of intestine
Includes diverticulosis with hemorrhage, relevant for GI bleeding due to diverticular disease.
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 endoscopy confirms gastric ulcer as the source of bleeding. |
|
| D62 | Acute posthemorrhagic anemia | Use when acute anemia is due to GI 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: How do you code gastrointestinal blood loss?
Essential facts and insights about Gastrointestinal Blood Loss
Primary ICD-10-CM Codes for gastrointestinal blood loss
Decision Criteria
clinical Criteria
- Endoscopic confirmation of gastric ulcer with bleeding.
documentation Criteria
- Documentation must state 'gastric ulcer with hemorrhage'.
Applicable To
- Bleeding gastric ulcer
Excludes
- Chronic gastric ulcer without hemorrhage
Clinical Validation Requirements
- Endoscopic findings of gastric ulcer with active bleeding
Code-Specific Risks
- Incorrectly coding unspecified GI bleed when ulcer is confirmed.
Coding Notes
- Ensure documentation explicitly links ulcer to hemorrhage.
D62 - Acute posthemorrhagic anemia
Use when acute anemia is due to GI bleeding.
Applicable To
- Anemia due to acute blood loss
Excludes
- Chronic blood loss anemia
Clinical Validation Requirements
- Hemoglobin drop below 7 g/dL
- Transfusion documentation
Coding Notes
Ensure anemia is documented as acute and linked to GI bleeding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential 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 Blood Loss to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K25.0.
Impact
Clinical: May lead to inappropriate treatment., Regulatory: Non-compliance with coding standards., Financial: Potential loss of reimbursement.
Mitigation Strategy
Ensure endoscopic findings are documented., Use specific codes when source is known.
Impact
Reimbursement: May affect DRG assignment and reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases specificity and accuracy of clinical data.
Mitigation Strategy
Use specific codes like K25.0 when the source is identified.
Impact
Improper sequencing of anemia and GI bleed codes can lead to audit issues.
Mitigation Strategy
Follow guidelines for sequencing based on principal diagnosis.
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 Blood Loss, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Gastrointestinal Blood Loss
Use these documentation templates to ensure complete and accurate documentation for Gastrointestinal Blood Loss. These templates include all required elements for proper coding and billing.
Acute GI Bleed with Anemia
Specialty: GastroenterologyRequired Elements
- Symptoms
- Endoscopic findings
- Hemoglobin levels
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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