Patient presents with a history of gastrointestinal bleeding (GIB).  Onset, duration, frequency, and character of the bleeding episodes were reviewed.  Possible etiologies including peptic ulcer disease, esophageal varices, diverticulosis, angiodysplasia, inflammatory bowel disease, and malignancy were considered.  Previous diagnostic workup such as esophagogastroduodenoscopy (EGD), colonoscopy, capsule endoscopy, and imaging studies including CT abdomen pelvis and angiography were documented.  Symptoms associated with the bleeding episodes such as hematemesis, melena, hematochezia, abdominal pain, fatigue, and syncope were explored.  Patient's past medical history, surgical history, family history, social history including alcohol use, smoking history, and NSAID use were also elicited.  Current medications and allergies were reviewed.  Vital signs including blood pressure, heart rate, and hemoglobin levels were assessed to evaluate the current clinical status and severity of blood loss.  Treatment for prior GIB episodes such as endoscopic therapy, surgical intervention, blood transfusions, and pharmacologic management were detailed.  Current symptoms and physical exam findings were correlated with the past history of GIB to determine the need for further diagnostic testing and treatment.  A plan for ongoing management including preventative measures, lifestyle modifications, and follow-up care was discussed with the patient.  Differential diagnosis includes upper gastrointestinal bleed, lower gastrointestinal bleed, occult gastrointestinal bleed, and anemia.  ICD-10 code K92.2 (Gastrointestinal hemorrhage, unspecified) may be considered, with more specific coding depending on the etiology and location of the bleed.  CPT codes will reflect the evaluation and management services provided, as well as any procedures performed.