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2025 ICD-10-CM code K92.0

Hematemesis, the vomiting of blood.

Follow official ICD-10-CM coding guidelines and conventions.Ensure proper sequencing and selection of codes to accurately reflect the clinical picture.If an underlying cause of the hematemesis is identified, that cause should be coded as well.

Medical necessity for coding K92.0 is established by the presence of hematemesis, requiring investigation and management to determine the cause and provide appropriate treatment to prevent further bleeding and complications.

Diagnosis and management of hematemesis, including investigation of the cause (e.g., endoscopy), treatment of the bleeding (e.g., medication, fluid resuscitation, blood transfusion), and management of the underlying condition.

IMPORTANT:May be used in conjunction with codes specifying the underlying cause of the hematemesis (e.g., drug-induced, related to peptic ulcer disease).

In simple words: This code means vomiting blood.Doctors use it when someone throws up blood from their stomach or upper intestines. It's important to note this doesn't include bleeding in newborns.

K92.0, Hematemesis, is an ICD-10-CM code that classifies the vomiting of blood.It indicates gastrointestinal bleeding originating proximal to the ligament of Treitz. The presentation can vary, including bright red blood, blood clots, or coffee-ground emesis (indicative of older blood).This code should be used when hematemesis is the primary diagnosis and other causes have been ruled out or are not applicable.It excludes neonatal gastrointestinal hemorrhage (P54.0-P54.3).

Example 1: A patient presents to the emergency department with bright red blood in their vomit.Initial assessment reveals no immediate life threats.Endoscopy is performed, revealing a bleeding peptic ulcer.K92.0 is coded, along with a code for the peptic ulcer., A patient on long-term NSAID therapy develops coffee-ground emesis.Endoscopy reveals a small gastric ulcer.K92.0 is coded, along with a code for the ulcer and a code for the adverse effect of the medication., A patient with a history of cirrhosis presents with hematemesis.Upper endoscopy confirms esophageal varices as the source of bleeding.K92.0 is coded in conjunction with codes for the cirrhosis and the esophageal varices.

Complete history and physical examination, laboratory findings (e.g., complete blood count, coagulation studies), upper endoscopy report (if performed), and details of any medications the patient is taking.

** Consider the severity of the bleeding and any associated complications when documenting and coding.Specific details about the nature and volume of blood vomited should be included in the medical record.

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