Find comprehensive information on gastrointestinal bleeding with anemia, including clinical documentation, medical coding, and healthcare guidelines. Learn about symptoms, diagnosis, treatment, and ICD-10 codes associated with GI bleed and anemia. This resource offers insights for physicians, nurses, and other healthcare professionals on managing and documenting this condition accurately for optimal patient care and reimbursement. Explore relevant terms like melena, hematochezia, iron deficiency anemia, upper GI bleed, lower GI bleed, endoscopic findings, and hemoglobin levels.
Also known as
Gastrointestinal hemorrhage
Bleeding in the digestive tract.
Iron deficiency anemia
Anemia caused by low iron levels, often due to blood loss.
Vascular disorders of intestine
Conditions affecting blood vessels in the intestines, potentially causing bleeding.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the source of the GI bleed identified?
Yes
Is it from the upper GI tract?
No
Is there evidence of blood loss anemia?
When to use each related code
Description |
---|
Gastrointestinal Bleed with Anemia |
Iron Deficiency Anemia |
Acute Blood Loss Anemia |
Patient presents with symptoms suggestive of gastrointestinal bleeding and anemia. Chief complaints include fatigue, weakness, dizziness, and shortness of breath. Onset of symptoms is reported as gradual over the past [number] weeksmonths. Patient also reports [mention specific symptom, e.g., melena, hematochezia, dark stools, or coffee-ground emesis]. Physical examination reveals pallor, tachycardia, and [mention other positive findings, e.g., abdominal tenderness, orthostatic hypotension]. Laboratory results demonstrate a low hemoglobin level of [value] gdL and hematocrit of [value]%, consistent with anemia. Further workup may include fecal occult blood test, esophagogastroduodenoscopy (EGD), colonoscopy, or other imaging studies to identify the source of bleeding. Differential diagnosis includes peptic ulcer disease, esophageal varices, diverticulosis, inflammatory bowel disease, and colorectal cancer. Assessment: Gastrointestinal bleed with iron deficiency anemia. Plan: Initial management includes hemodynamic stabilization with intravenous fluids and blood transfusion if indicated. Further diagnostic testing will be performed to determine the location and cause of the GI bleed. Patient education provided regarding dietary modifications, medication management, and potential complications. Follow-up scheduled for [timeframe] to review test results and discuss further treatment options. ICD-10 codes for consideration include K92.2 (Melena), K62.5 (Other specified intestinal obstruction), and D50.0 (Iron deficiency anemia secondary to blood loss chronic). CPT codes for potential procedures will be determined based on the specific tests performed.