2025 ICD-10-CM code K31.811
Angiodysplasia of stomach and duodenum with bleeding.
Medical necessity for procedures related to K31.811 is established by the presence of symptomatic bleeding or significant anemia due to the angiodysplasia.The documentation must support the need for intervention to control the bleeding and stabilize the patient's condition.
Clinicians responsible for diagnosing and managing K31.811 include gastroenterologists, general surgeons, and potentially interventional radiologists, depending on the treatment approach.They are responsible for confirming the diagnosis, typically through endoscopy, and then determining the appropriate treatment strategy.
- Chapter 11: Diseases of the digestive system (K00-K95)
- Diseases of esophagus, stomach and duodenum (K20-K31)
In simple words: This diagnosis indicates a patient has abnormal, dilated blood vessels in their stomach and first part of the small intestine, which are currently bleeding.
This code signifies the presence of angiodysplasia, an abnormal collection of blood vessels, in the stomach and duodenum, accompanied by active bleeding.
Example 1: A 65-year-old patient presents with melena and anemia.Endoscopy reveals angiodysplasia in the stomach and duodenum, actively bleeding. The bleeding is controlled endoscopically., A patient with chronic kidney disease on dialysis experiences recurrent episodes of gastrointestinal bleeding.Angiodysplasia of the stomach and duodenum is identified as the source., An elderly patient with von Willebrand disease presents with hematemesis.Angiodysplasia with active bleeding is discovered in the duodenum during an upper endoscopy.
Documentation should include evidence of bleeding (e.g., melena, hematemesis, anemia), endoscopic findings confirming the presence of angiodysplasia, and the location of the angiodysplasia within the stomach and/or duodenum.If treatment is provided, the documentation should include details of the intervention performed.
** Angiodysplasia is more common in older adults and individuals with certain underlying conditions like chronic kidney disease. Treatment options vary depending on the severity of the bleeding and may include endoscopic therapy, hormonal therapy, or surgery.
- Specialties:Gastroenterology, General Surgery, Interventional Radiology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center