Wiki Heme positive stool

Community Wiki

This is a community-maintained wiki post containing the most important information from this thread. You may edit the Wiki once you have been on AAPC for 30 days and have made 5 posts. Learn More
G
Code: R19.5

Code Name: ICD-10 Code for Other fecal abnormalities

Block: Other fecal abnormalities

Abnormal stool color
Bulky stools
Mucus in stools
Occult blood in feces
Occult blood in stools

Excludes 1:melena (K92.1)
neonatal melena (P54.1)

R19

Excludes1: acute abdomen (R10.0)

Details: Symptoms and signs involving the digestive system and abdomen (R10-R19)

Excludes 2: congenital or infantile pylorospasm (Q40.0)
gastrointestinal hemorrhage (K92.0-K92.2)
intestinal obstruction (K56.-)
newborn gastrointestinal hemorrhage (P54.0-P54.3)
newborn intestinal obstruction (P76.-)
pylorospasm (K31.3)
signs and symptoms involving the urinary system (R30-R39)
symptoms referable to female genital organs (N94.-)
symptoms referable to male genital organs male (N48-N50)

Guidelines: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)

Note: This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.
Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification. In general, categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body. Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. The Alphabetical Index should be consulted to determine which symptoms and signs are to be allocated here and which to other chapters. The residual subcategories, numbered .8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification.
The conditions and signs or symptoms included in categories R00-R94 consist of:
(a) cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated;
(b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined;
(c) provisional diagnosis in a patient who failed to return for further investigation or care;
(d) cases referred elsewhere for investigation or treatment before the diagnosis was made;
(e) cases in which a more precise diagnosis was not available for any other reason;
(f) certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.


Excludes 2: abnormal findings on antenatal screening of mother (O28.-)
certain conditions originating in the perinatal period (P04-P96)
signs and symptoms classified in the body system chapters
signs and symptoms of breast (N63, N64.5)

For more details on R19.5 , ICD-10 Code for Other fecal abnormalities , visit: https://coder.aapc.com/icd-10-codes/

lring

Guru
Messages
161
Location
Goose Creek, SC
Best answers
0
792.1 is correct - to code it you would go to "findings, abnormal, without diagnosis" in ICD-9 and then go to "stool" - under that you would find 'occult' - and this is a code under 'signs, symptoms and ill-defined conditions' so you aren't giving someone a diagnosis but rather a symptom
 

RebeccaWoodward*

True Blue
Messages
3,126
Location
North Carolina
Best answers
0
I agree with Lisa and LRing

Occult blood means the blood is hidden to the eye. When a hemoccult test comes back positive for this hidden blood, you should use 792.1 (Nonspecific abnormal findings in stool contents). Blood in the stool that is visible, appearing as either bright red streaks or tarry black stools, you should use 578.1
 

coderguy1939

Guest
Messages
643
Best answers
0
How do you determine if heme positive stool refers to occult blood or simply blood in stool. My understanding of an occult DX is that the patient has provided fecal smears on three successive days. I would think that would need to be documented in order to use 792.1.
 

RebeccaWoodward*

True Blue
Messages
3,126
Location
North Carolina
Best answers
0
As you know, the hemoccult test screens for blood in the stool. It detects a small trace of blood visible to the naked eye. Blood which is hidden from view is referred to as "occult" bleeding. Hemoccult = hidden blood=729.1
 
Top