Melena or Hematochezia: Difference between revisions

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{{ICD10 transition status

| OldDxArticle =Lower GI Bleed| CurrentStatus = ~~freshly automatically generated article~~

| OldDxArticle = Upper GI Bleed; Lower GI Bleed|

| InitialEditorAssigned = ~~Louise Lemoine~~

CurrentStatus = reconciled

| InitialEditorAssigned = not assigned

}}

{{ICD10 dx

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== Additional Info ==

*This code is actually a symptom, representing GI blood exiting through the lower GI tract. The actual source of the blood could be from the lower or upper GI tracts.

*'''Whenever possible code combine this code with the CAUSE of this symptom.'''

*Therefore it is not actually a specific diagnosis or cause of the bleeding.

**Indeed, one ''can'' have an upper GI ~~cause/~~source ~~of bleeding~~ with blood ~~coming~~ from the rectum.

* If a source for a gastrointestinal hemorrhage cannot be found use [[Melena or Hematochezia]] or [[Hematemesis]]

*This code should '''''only''''' be used alone if the cause ~~of the melena remains unknown.~~

*'''Whenever possible [[Combined ICD10 codes|code combine]] this code with the CAUSE of this symptom.'''

*If all you know is that there is bleeding from a GI source, without a known ~~source or ''even whether it was exiting the upper or lower GI tracts'', then instead use code '''[[Gastrointestinal hemorrhage (GI bleed), not specified if lower or upper]]'''.~~

**Indeed, one can have an upper GI source with blood from the rectum.

**Melena is defined as - Wikipedia

{{ICD10 Guideline Signs Symptoms Test Results not needed when cause known}}

~~https://en.wikipedia.org/wiki/Melena~~

~~Melena or melæna refers to the dark black, tarry feces that are associated with upper gastrointestinal bleeding.~~

~~{{Discussion~~}}

**The way this ICD 10 code is written is incorrect in my opinion. Melena is a symptom of an Upper GI Bleed not a Lower GI Bleed. --[[User:LKolesar|LKolesar]] 10:38, 2018 March 13 (CDT)

== Alternate ICD10s to consider coding instead or in addition ==

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== Candidate [[Combined ICD10 codes]] ==

*As above, combine this code with the code for the source/cause of the bleeding.

== Related CCI Codes ==

== Related Articles ==

@@ Line 1: / Line 1: @@
 {{ICD10 transition status
-| OldDxArticle =Lower GI Bleed| CurrentStatus = freshly automatically generated article
+| OldDxArticle = Upper GI Bleed; Lower GI Bleed|
-| InitialEditorAssigned = Louise Lemoine
+CurrentStatus = reconciled
+| InitialEditorAssigned = not assigned
 }}
 {{ICD10 dx
@@ Line 12: / Line 13: @@
 == Additional Info ==
 *This code is actually a symptom, representing GI blood exiting through the lower GI tract.  The actual source of the blood could be from the lower or upper GI tracts.
-*'''Whenever possible code combine this code with the CAUSE of this symptom.'''
+*Therefore it is not actually a specific diagnosis or cause of the bleeding.
-**Indeed, one ''can'' have an upper GI cause/source of bleeding with blood coming from the rectum.
+* If a source for a gastrointestinal hemorrhage cannot be found use [[Melena or Hematochezia]] or [[Hematemesis]]
-*This code should '''''only''''' be used alone if the cause of the melena remains unknown.
+*'''Whenever possible [[Combined ICD10 codes|code combine]] this code with the CAUSE of this symptom.'''
-*If all you know is that there is bleeding from a GI source, without a known source or ''even whether it was exiting the upper or lower GI tracts'', then instead use code '''[[Gastrointestinal hemorrhage (GI bleed), not specified if lower or upper]]'''.
+**Indeed, one can have an upper GI source with blood from the rectum.
-**Melena is defined as  - Wikipedia
+{{ICD10 Guideline Signs Symptoms Test Results not needed when cause known}}
-https://en.wikipedia.org/wiki/Melena
-Melena or melæna refers to the dark black, tarry feces that are associated with upper gastrointestinal bleeding.
-{{Discussion}}
-**The way this ICD 10 code is written is incorrect in my opinion.  Melena is a symptom of an Upper GI Bleed not a Lower GI Bleed. --[[User:LKolesar|LKolesar]] 10:38, 2018 March 13 (CDT)
 == Alternate ICD10s to consider coding instead or in addition ==
@@ Line 28: / Line 24: @@
 == Candidate [[Combined ICD10 codes]] ==
-*As above, combine this code with the code for the source/cause of the bleeding.
 == Related CCI Codes ==
+{{Data Integrity Check List}}
 == Related Articles ==
 {{Related Articles}}
 {{ICD10 footer}}
 {{EndPlaceHolder}}