Demystifying the ICD-10 code for occult GI bleeding: What doctors need to know

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The International Classification of Diseases, Tenth Revision (ICD-10), is a system used worldwide to classify and code diagnoses and procedures for medical billing and reporting purposes. When it comes to occult gastrointestinal (GI) bleeding, there are specific ICD-10 codes used to identify and document this condition. Occult GI bleeding refers to gastrointestinal bleeding that is not visible to the naked eye. It may present with symptoms such as black or tarry stools (melena) or positive fecal occult blood tests. To accurately code occult GI bleeding, healthcare professionals rely on specific ICD-10 codes that correspond to this condition. The appropriate ICD-10 code for occult GI bleeding depends on various factors, including the underlying cause of the bleeding and the specific location in the GI tract where the bleeding originates.



2024 ICD-10-CM Diagnosis Code K92.2

A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as K92.2 . A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.

  • acute hemorrhagic gastritis (

ICD-10-CM Diagnosis Code K29.01

Acute gastritis with bleeding

    2016 2017 2018 2019 2020 2021 2022 2023 2024 Billable/Specific Code

ICD-10-CM Diagnosis Code K62.5

Hemorrhage of anus and rectum

    2016 2017 2018 2019 2020 2021 2022 2023 2024 Billable/Specific Code
  • gastrointestinal bleeding NOS (K92.2)
  • melena (K92.1)
  • neonatal rectal hemorrhage (P54.2)

ICD-10-CM Diagnosis Code K31.811

Angiodysplasia of stomach and duodenum with bleeding

    2016 2017 2018 2019 2020 2021 2022 2023 2024 Billable/Specific Code

ICD-10-CM Diagnosis Code K57

  • K57 Diverticular disease of intestine
    • K57.0 Diverticulitis of small intestine with perfor.
      • K57.00 Diverticulitis of small intestine with perfor.
      • K57.01 Diverticulitis of small intestine with perfor.
      • K57.10 Diverticulosis of small intestine without per.
      • K57.11 Diverticulosis of small intestine without per.
      • K57.12 Diverticulitis of small intestine without per.
      • K57.13 Diverticulitis of small intestine without per.
      • K57.20 Diverticulitis of large intestine with perfor.
      • K57.21 Diverticulitis of large intestine with perfor.
      • K57.30 Diverticulosis of large intestine without per.
      • K57.31 Diverticulosis of large intestine without per.
      • K57.32 Diverticulitis of large intestine without per.
      • K57.33 Diverticulitis of large intestine without per.
      • K57.40 Diverticulitis of both small and large intest.
      • K57.41 Diverticulitis of both small and large intest.
      • K57.50 Diverticulosis of both small and large intest.
      • K57.51 Diverticulosis of both small and large intest.
      • K57.52 Diverticulitis of both small and large intest.
      • K57.53 Diverticulitis of both small and large intest.
      • K57.80 Diverticulitis of intestine, part unspecified.
      • K57.81 Diverticulitis of intestine, part unspecified.
      • K57.90 Diverticulosis of intestine, part unspecified.
      • K57.91 Diverticulosis of intestine, part unspecified.
      • K57.92 Diverticulitis of intestine, part unspecified.
      • K57.93 Diverticulitis of intestine, part unspecified.

      ICD-10-CM Diagnosis Code K29

      • K29 Gastritis and duodenitis
        • K29.0 Acute gastritis
          • K29.00 …… without bleeding
          • K29.01 …… with bleeding
          • K29.20 …… without bleeding
          • K29.21 …… with bleeding
          • K29.30 Chronic superficial gastritis without bleedin.
          • K29.31 …… with bleeding
          • K29.40 …… without bleeding
          • K29.41 …… with bleeding
          • K29.50 Unspecified chronic gastritis without bleedin.
          • K29.51 …… with bleeding
          • K29.60 …… without bleeding
          • K29.61 …… with bleeding
          • K29.70 …… without bleeding
          • K29.71 …… with bleeding
          • K29.80 …… without bleeding
          • K29.81 …… with bleeding
          • K29.90 Gastroduodenitis, unspecified, without bleedi.
          • K29.91 …… with bleeding

          ICD-10-CM Diagnosis Code K25

          Gastric ulcer

            2016 2017 2018 2019 2020 2021 2022 2023 2024 Non-Billable/Non-Specific Code
          • erosion (acute) of stomach
          • pylorus ulcer (peptic)
          • stomach ulcer (peptic)
          • acute gastritis (K29.0-)
          • peptic ulcer NOS (K27.-)
          • code to identify:
          • alcohol abuse and dependence (F10.-)

          ICD-10-CM Diagnosis Code K28

          Gastrojejunal ulcer

            2016 2017 2018 2019 2020 2021 2022 2023 2024 Non-Billable/Non-Specific Code
          • anastomotic ulcer (peptic) or erosion
          • gastrocolic ulcer (peptic) or erosion
          • gastrointestinal ulcer (peptic) or erosion
          • gastrojejunal ulcer (peptic) or erosion
          • jejunal ulcer (peptic) or erosion
          • marginal ulcer (peptic) or erosion
          • stomal ulcer (peptic) or erosion
          • primary ulcer of small intestine (K63.3)
          • code to identify:
          • alcohol abuse and dependence (F10.-)

          The following code(s) above K92.2 contain annotation back-references

          Annotation Back-References

          • Applicable To annotations, or
          • Code Also annotations, or
          • Code First annotations, or
          • Excludes1 annotations, or
          • Excludes2 annotations, or
          • Includes annotations, or
          • Note annotations, or
          • Use Additional annotations
          • K00-K95

          2024 ICD-10-CM Range K00-K95

          Diseases of the digestive system

          • certain conditions originating in the perinatal period (P04-P96)
          • certain infectious and parasitic diseases (A00-B99)
          • complications of pregnancy, childbirth and the puerperium (O00-O9A)
          • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
          • endocrine, nutritional and metabolic diseases (E00-E88)
          • injury, poisoning and certain other consequences of external causes (S00-T88)
          • neoplasms (C00-D49)
          • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

          ICD-10-CM Diagnosis Code K92

          Other diseases of digestive system

            2016 2017 2018 2019 2020 2021 2022 2023 2024 Non-Billable/Non-Specific Code
          • neonatal gastrointestinal hemorrhage (P54.0-P54.3)
          • Bleeding gastric varices
          • Duodenal disorder, hemorrhage
          • Duodenal hemorrhage
          • Gastric varices bleeding
          • Gastrointestinal hemorrhage
          • Lower gastrointestinal hemorrhage
          • Upper gastrointestinal hemorrhage
          • A disorder characterized by bleeding from the gastric wall.
          • Bleeding from the gastric wall.
          • Bleeding in any segment of the gastrointestinal tract from esophagus to rectum.
          • Bleeding originating from any part of the gastrointestinal system.
          • Escape of blood from the vessels, or bleeding, in the gastrointestinal tract.
          • Your digestive or gastrointestinal (gi) tract includes the esophagus, stomach, small intestine, large intestine or colon, rectum and anus. Bleeding can come from one or more of these areas. The amount of bleeding can be so small that only a lab test can find it. Gi bleeding is not a disease, but a symptom of a disease. There are many possible causes of gi bleeding, including
            • hemorrhoids
            • peptic ulcers
            • tears or inflammation in the esophagus
            • diverticulosis and diverticulitis
            • ulcerative colitis and crohn's disease
            • colonic polyps
            • cancer in the colon, stomach or esophagus
            • 377 Gastrointestinal hemorrhage with mcc
            • 378 Gastrointestinal hemorrhage with cc
            • 379 Gastrointestinal hemorrhage without cc/mcc
            • 791 Prematurity with major problems
            • 793 Full term neonate with major problems
            • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
            • 2017 (effective 10/1/2016): No change
            • 2018 (effective 10/1/2017): No change
            • 2019 (effective 10/1/2018): No change
            • 2020 (effective 10/1/2019): No change
            • 2021 (effective 10/1/2020): No change
            • 2022 (effective 10/1/2021): No change
            • 2023 (effective 10/1/2022): No change
            • 2024 (effective 10/1/2023): No change

            Code annotations containing back-references to K92.2 :

            • Type 1 Excludes: K62.5

            ICD-10-CM Diagnosis Code K62.5

            Hemorrhage of anus and rectum

              2016 2017 2018 2019 2020 2021 2022 2023 2024 Billable/Specific Code
            • gastrointestinal bleeding NOS ( K92.2 )
            • melena (K92.1)
            • neonatal rectal hemorrhage (P54.2)

            Diagnosis Index entries containing back-references to K92.2 :

            ICD-10-CM Code for Gastrointestinal hemorrhage, unspecified K92.2

            The appropriate ICD-10 code for occult GI bleeding depends on various factors, including the underlying cause of the bleeding and the specific location in the GI tract where the bleeding originates. Some common ICD-10 codes for occult GI bleeding include: 1. K92.

            ICD-10 code K92.2 for Gastrointestinal hemorrhage, unspecified is a medical classification as listed by WHO under the range - Diseases of the digestive system .

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            Official Long Descriptor

            Gastrointestinal hemorrhage, unspecified Gastric hemorrhage NOS
            Intestinal hemorrhage NOS

            Excludes1: acute hemorrhagic gastritis (K29.01)
            hemorrhage of anus and rectum (K62.5)
            angiodysplasia of stomach with hemorrhage (K31.811)
            diverticular disease with hemorrhage (K57.-)
            gastritis and duodenitis with hemorrhage (K29.-)
            peptic ulcer with hemorrhage (K25-K28)

            K92 Excludes1: neonatal gastrointestinal hemorrhage (P54.0-P54.3)

            Additional/Related Information

            Tabs
            • 7 th Character Notes
            • Category Notes
            • Chapter Guidelines

            Get crucial instructions for accurate ICD-10-CM K92.2 coding with all applicable Excludes 1 and Excludes 2 notes from the section level conveniently shown with each code.

            This section shows you chapter-specific coding guidelines to increase your understanding and correct usage of the target ICD-10-CM Volume 1 code.

            Crosswalks

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            • ICD-9-CM CROSSWALK

            Forum

            Have a question about ICD-10-CM Code K92.2 ? Start a discussion here

            Hi Lcubed You must have provider give a reason for doing colonoscopy. Those Z codes are not first listed and give no definitive illness info to the payer, too generic. Was the colonoscopy done for a. [ Read More ]

            Hi Rhonda? This screening depends on what lab test is being done and reason from provider. . DX Z00 is more of physical. I'd be detailed if I were you 2. Let me give you some examples but it depends o. [ Read More ]

            Hi Everyone, From my past experience if the patient had [B]symptom [/B]to warrant a colonoscopy..put that as first dx. So let us say the patient had fecal abnormalities dx R19.5 or bleeding K92 dx, th. [ Read More ]

            [QUOTE="prashantsmalviya, post: 495976, member: 283892"] I'm not sure how people are not aware of this till now. Even I am the one who was not aware that there is an AHA coding clinic, released on 1st. [ Read More ]

            I'm not sure how people are not aware of this till now. Even I am the one who was not aware that there is an AHA coding clinic, released on 1st quarter of 2021, which says as below - [B]Question:[/B]. [ Read More ]

            Hi Your physician should list why the patient is needing these lab tests. Medical coders should not guess, but does he or she your provider mention patient needs further testing for certain disease o. [ Read More ]

            This is from Anthem's Medical Policies & Clinical UM Guidelines - I searched for Indiana, since it looks like where you are located. [URL unfurl="true"]https://www.anthem.com/dam/medpolicies/abcbs/. [ Read More ]

            If you have a confirmed non bleeding gastric ulcer then do you also have confirmation of GI bleeding from some other source? The excludes note is there to remind you that if you have unspecified GI b. [ Read More ]

            [QUOTE="pswotton, post: 460760, member: 23383"] Thanks for your response. My Payer is indicating that when coding K92.2 as the medical necessity for procedure, coding the bleeding cause, in this case . [ Read More ]

            [QUOTE="mitchellde, post: 460757, member: 30657"] It does not mean it is included it means they cannot be coded together for one reason or the other. I may not be understanding your question. Can yo. [ Read More ]

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            Gastrointestinal Bleeding (GI Bleed) ICD-10-CM Codes

            Access the 2023 Gastrointestinal Bleeding (GI Bleed) ICD-10-CM codes guide. Learn about the specific codes, clinical descriptions, and billing implications.

            Audrey Liz Perez December 14, 2023 Get this now Table of content Share
            Icd 10 code for occult gi bleed

            2 - Gastrointestinal hemorrhage, unspecified This code is used when the location or specific cause of the occult GI bleeding is unknown or unspecified. 2. K92.0 - Hematemesis Hematemesis refers to vomiting of blood or blood-stained material. This code is used when the symptoms of occult GI bleeding include vomiting of blood. 3. K92.1 - Melena Melena refers to black, tarry stools that indicate the presence of blood in the lower GI tract. This code is used when the symptoms of occult GI bleeding include melena. 4. K92.81 - Gastrointestinal bleeding, unspecified This code is used when the location of the bleeding within the GI tract is known but the cause is unspecified. 5. K92.89 - Other specified digestive system disorders This code is used for other specified disorders of the digestive system that may be associated with occult GI bleeding. It is important for healthcare professionals to accurately document the underlying cause of the occult GI bleeding, as additional codes may be necessary to provide a more detailed description of the patient's condition. These codes can include conditions such as peptic ulcer disease (K25-K28), gastric or duodenal ulcers (K25-K27), diverticulosis of the intestine (K57), or other gastrointestinal disorders (K20-K31). Proper coding of occult GI bleeding is crucial for accurate medical billing, monitoring trends in patient populations, and conducting research. Using the correct ICD-10 codes helps ensure that healthcare providers can track and categorize cases of occult GI bleeding appropriately, leading to more effective treatment and improved patient outcomes..

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