Occult blood in stool is a medical term used to describe the presence of small amounts of blood in the stool that cannot be seen with the naked eye. This condition is also known as hidden blood in stool. The International Classification of Diseases, 10th Revision (ICD-10) is a system used by healthcare professionals to classify and code various diseases and conditions. The specific code for occult blood in stool in the ICD-10 is K92.2. Occult blood in stool can be an indication of various underlying medical conditions, such as gastrointestinal bleeding, peptic ulcers, hemorrhoids, colorectal cancer, or inflammatory bowel disease.
The Polymedco OC-Auto Micro 80 immunochemical fecal occult blood test is capable of detection of as little as 100 ng of human hemoglobin per mL of feces, making it a much more sensitive assay than guaiac-based tests for detecting low levels of human fecal occult blood. It requires only one stool specimen collected from one bowel movement.
The Polymedco OC-Auto Micro 80 immunochemical fecal occult blood test is capable of detection of as little as 100 ng of human hemoglobin per mL of feces, making it a much more sensitive assay than guaiac-based tests for detecting low levels of human fecal occult blood. Collection tube or sampling device other than the Polymedco OC-Auto Sampling Bottle; specimens with obvious blood which may be due to menstrual bleeding, bleeding hemorrhoids, constipation bleeding, or urinary bleeding ; raw stool submitted in a container; unlabeled specimen or name discrepancy between specimen and test request label; specimen received after prolonged delay more than 15 days at room temperature since collection ; specimen received frozen; expired sampling bottle; leaking sampling bottle; sampling bottle overfilled or without adequate liquid.
Occult blood in stool can be an indication of various underlying medical conditions, such as gastrointestinal bleeding, peptic ulcers, hemorrhoids, colorectal cancer, or inflammatory bowel disease. It can also be caused by non-serious conditions like gastric irritation or use of certain medications. Screening for occult blood in stool is often done as part of routine check-ups or as a diagnostic tool for certain gastrointestinal disorders.
Hemoccult Positive Stool Finding
A patient with guaiac positive stool presents for outpatient esophagogastroduodenoscopy (EGD) and colonoscopy. The EGD revealed a non-bleeding gastric antral erosion. The colonoscopy revealed a polyp at the ileocecal valve, diverticulosis of the descending and sigmoid colon and mild internal hemorrhoids, all without active bleeding. Coding Clinic, Third Quarter 2018, pages 21-23, advised to assign combination codes “with bleeding” for conditions where ICD-10-CM makes a linkage between the conditions and bleeding. Does this advice also apply to occult/guaiac positive stool without provider documentation of bleeding/hemorrhage? .
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No special drug or dietary restrictions are required. Results of this test are not affected by dietary peroxidases, animal blood, or vitamin C.
A stool sample is collected and tested for the presence of blood using various laboratory methods, such as the guaiac-based fecal occult blood test (gFOBT) or the fecal immunochemical test (FIT). The treatment for occult blood in stool depends on the underlying cause. If a serious condition is suspected, further tests and investigations, such as colonoscopy or upper endoscopy, may be recommended to determine the exact cause of the bleeding. Treatment may include medications, lifestyle changes, or surgical interventions, depending on the specific condition diagnosed. It is important to note that occult blood in stool does not always indicate a serious medical condition. In some cases, it may be a result of a transient or minor issue, such as small tears in the anus or irritation in the digestive tract. However, it is important to consult a healthcare professional if occult blood in stool is detected, as it can sometimes be a sign of an underlying condition that requires medical attention. In conclusion, occult blood in stool is a medical condition characterized by the presence of small amounts of blood that cannot be seen with the naked eye. The ICD-10 code for occult blood in stool is K92.2. It can be caused by various medical conditions, ranging from minor issues to serious diseases. Screening and further diagnostic tests may be necessary to determine the cause of the bleeding and appropriate treatment options. Medical consultation is recommended if occult blood in stool is detected..
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