Wiki hematochezia dx

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Code: K92.1

Code Name: ICD-10 Code for Melena

Block: Other diseases of the digestive system (K90-K95)

Details: Melena


Excludes 1: occult blood in feces (R19.5)
K92

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

Guidelines: Diseases of the digestive system (K00-K95)

Excludes 2: 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)

For more details on K92.1, ICD-10 Code for Melena , visit: https://coder.aapc.com/icd-10-codes/

avrilw

Contributor
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spokane
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hematochezia is not the same as melena but the code book is stating the same dx code should be used for both K92.1.

melena is a passage of dark, tarry stools containing blood, as the result of upper gastrointestinal bleeding while hematochezia is the presence of fresh blood in stools, often due to lower gastrointestinal bleeding.

Can anyone tell me what they are using for fresh blood in stool or Hematochezia? Our physician is not happy about the fact that Melena is listed next to that code when that is not what the patient has.

thanks!
 
Last edited:

Crsunny808

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Hilo, Hawaii
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Two choices: First choice would be K92.2- GI bleeding not otherwise specified, or K62.5 - hemorrhage of anus or rectum. Finally, check with your Doc to see if origin was confirmed, if so code to that.
 
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