2025 ICD-10-CM code K94.21
(Active) Effective Date: N/A Revision Date: N/A Diseases of the digestive system - Other diseases of the digestive system (K90-K95) Diseases of the digestive system (K00-K95) Feed
Gastrostomy hemorrhage.
Medical necessity for treatment of gastrostomy hemorrhage is established by the presence of active bleeding, the potential for complications (e.g., hypovolemic shock, anemia), and the need for intervention to stabilize the patient.
The clinical responsibility for managing gastrostomy hemorrhage involves prompt assessment, identification of the bleeding source, and appropriate intervention to control the bleeding. This may include endoscopic procedures, surgical intervention, or medical management depending on the severity and cause.
In simple words: Bleeding from a surgically created opening in the stomach (gastrostomy).
K94.21, Gastrostomy hemorrhage, refers to bleeding originating from a gastrostomy site.This can range in severity from minor oozing to life-threatening hemorrhage. The underlying cause should be investigated and documented.
Example 1: A patient with a gastrostomy tube experiences sudden, heavy bleeding from the insertion site.The physician performs an endoscopic examination to identify the source and cauterizes the bleeding vessel., A patient with a long-standing gastrostomy tube develops slow, persistent oozing from the site. The physician orders laboratory tests to evaluate for coagulation disorders and initiates medical management to improve hemostasis., A patient undergoing gastrostomy tube replacement experiences significant bleeding during the procedure.The surgeon performs surgical repair to control the hemorrhage and prevent complications.
Complete documentation should include: patient history (including anticoagulant use, previous bleeding episodes); physical examination findings (vital signs, location and amount of bleeding); results of any diagnostic tests (endoscopy, lab values); interventions (medical or surgical); response to treatment; and any complications.
** Further sub-classification may be needed depending on the underlying cause of the hemorrhage, the location of the bleeding, and the method of treatment.Always ensure complete and accurate documentation to support the code assignment.
- Payment Status: Active
- Specialties:Gastroenterology, Surgery, Internal Medicine
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center