2025 ICD-10-CM code K94.01
Bleeding from a colostomy site.
Medical necessity for the evaluation and management of a colostomy hemorrhage is established by the presence of bleeding, potentially representing a threat to the patient's health or requiring intervention to control the bleeding and prevent complications.The severity of the bleeding and associated clinical findings will determine the level of care required.
Clinicians are responsible for identifying the cause and severity of the hemorrhage.This includes assessing blood loss, vital signs, and any associated complications.Treatment and management depend on the underlying cause and may involve local measures (e.g., pressure dressings, topical agents), surgical intervention, or other medical therapies.
In simple words: Bleeding from the opening created for the colostomy.
Hemorrhage occurring at the site of a colostomy.
Example 1: A patient with a recent colostomy formation presents with active bleeding from the stoma site. The bleeding is determined to be due to disruption of a small blood vessel at the mucosal edge., A patient with an established colostomy experiences minor bleeding after a change of the ostomy appliance. The bleeding is controlled with local pressure., A patient with a colostomy develops significant bleeding from the stoma site several days after abdominal surgery.Further investigation reveals a coagulopathy contributing to the bleeding.
Documentation should include details about the onset, duration, and amount of bleeding, associated symptoms, any interventions performed, and the patient's response to treatment.The cause of the hemorrhage should be documented if identified.
- Specialties:General surgery, colorectal surgery, gastroenterology, wound care
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Off Campus-Outpatient Hospital, Office, Home, Skilled Nursing Facility, Nursing Facility