Melena or Hematochezia
| ICD10 Diagnosis | |
| Dx: | Melena or Hematochezia |
| ICD10 code: | K92.1 |
| Pre-ICD10 counterpart: | Upper GI Bleed, Lower GI Bleed |
| Charlson/ALERT Scale: | none |
| APACHE Como Component: | none |
| APACHE Acute Component: | 2019-0: GI bleed, 2019-0: GI Bleeding |
| Start Date: | |
| Stop Date: | |
| Data Dependencies(Reports/Indicators/Data Elements): | No results |
| External ICD10 Documentation | |
This diagnosis is a part of ICD10 collection.
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.
- Indeed, one can have an upper GI cause/source of bleeding with blood coming from the rectum.
- This code should only be used alone if the cause of the melena remains unknown.
- 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.
- Melena is defined as - Wikipedia
https://en.wikipedia.org/wiki/Melena
Melena or melæna refers to the dark black, tarry feces that are associated with upper gastrointestinal bleeding.
- 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. --LKolesar 10:38, 2018 March 13 (CDT)
Alternate ICD10s to consider coding instead or in addition
Candidate Combined ICD10 codes
- As above, combine this code with the code for the source/cause of the bleeding.
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