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ICD-10 Coding for History of Gastrointestinal Bleed(Z87.19)

Complete ICD-10-CM coding and documentation guide for History of Gastrointestinal Bleed. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

History of GI BleedPrevious GI Hemorrhage

Related ICD-10 Code Ranges

Complete code families applicable to History of Gastrointestinal Bleed

Z87.1Primary Range

Personal history of diseases of the digestive system

This range includes codes for documenting a personal history of digestive system diseases, including GI bleeds.

Ulcers with hemorrhage

These codes are used when the history of GI bleed is related to ulcers with hemorrhage.

Key Information: ICD-10 code for history of GI bleed

Essential facts and insights about History of Gastrointestinal Bleed

The ICD-10 code for a history of gastrointestinal bleed is Z87.19.

Primary ICD-10-CM Code for history of gastrointestinal bleed

Personal history of other diseases of the digestive system
Billable Code

Decision Criteria

documentation Criteria

  • History of GI bleed must be clearly documented as resolved.

Applicable To

  • History of gastrointestinal bleed

Excludes

  • Current gastrointestinal hemorrhage (K92.2)

Clinical Validation Requirements

  • Documentation of resolved GI bleed
  • Etiology of the bleed
  • Date of last bleed

Code-Specific Risks

  • Incorrectly using for active GI bleed

Coding Notes

  • Ensure documentation specifies the resolved nature of the bleed and its etiology.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Iron deficiency anemia secondary to chronic blood loss

D50.0
Use if anemia is documented as a result of past GI bleed.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Gastrointestinal hemorrhage, unspecified

K92.2
Use K92.2 for active bleeding, not for historical cases.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting History of Gastrointestinal Bleed to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z87.19.

Impact

Clinical: Inaccurate patient history, Regulatory: Potential audit issues, Financial: Claim denials

Mitigation Strategy

Use specific language in documentation, Include etiology and resolution

Impact

Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records.

Mitigation Strategy

Use Z87.19 for resolved GI bleeds, not K92.2.

Impact

Using codes for active bleeding when documenting history.

Mitigation Strategy

Ensure documentation clearly states the resolved nature of the bleed.

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 History of Gastrointestinal Bleed, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for History of Gastrointestinal Bleed

Use these documentation templates to ensure complete and accurate documentation for History of Gastrointestinal Bleed. These templates include all required elements for proper coding and billing.

Gastroenterology Follow-Up

Specialty: Gastroenterology

Required Elements

  • History of present illness
  • Assessment
  • Plan

Example Documentation

Patient is a 68M with history of lower GI bleed secondary to angiodysplasia (2023), status post argon plasma coagulation. Presents for routine surveillance. No hematochezia or melena since last procedure.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Hx of GI bleed.
Good Documentation Example
History of lower GI bleed due to diverticulosis (March 2024), resolved with endoscopic clipping.
Explanation
The good example specifies the etiology and resolution of the bleed.

Need help with ICD-10 coding for History of Gastrointestinal Bleed? Ask your questions below.

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