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ICD-10 Guide
ICD-10 CodesK31.811

K31.811

Billable

Angiodysplasia of stomach and duodenum with bleeding

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/06/2025

Code Description

ICD-10 K31.811 is a billable code used to indicate a diagnosis of angiodysplasia of stomach and duodenum with bleeding.

Key Diagnostic Point:

Angiodysplasia of the stomach and duodenum with bleeding is a vascular malformation characterized by abnormal blood vessels in the gastrointestinal tract, particularly in the stomach and duodenum. Clinically, patients may present with gastrointestinal bleeding, which can manifest as hematemesis (vomiting blood) or melena (black, tarry stools). The condition often affects older adults and can be associated with chronic kidney disease or aortic stenosis. The anatomy involved includes the vascular structures of the gastric and duodenal mucosa, where these malformations can lead to erosion and subsequent bleeding. Disease progression may vary; some patients experience intermittent bleeding episodes, while others may have more severe, acute hemorrhagic events requiring urgent medical intervention. Diagnostic considerations include endoscopy, which allows direct visualization of the lesions, and imaging studies such as angiography to assess the vascular supply and bleeding sources. Biopsy may be performed to rule out malignancy. Early recognition and management are crucial to prevent significant morbidity associated with blood loss.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires endoscopic evaluation and possibly imaging studies.
  • Treatment complexity: May involve endoscopic intervention, cauterization, or surgical options.
  • Documentation requirements: Detailed clinical notes and procedural documentation are necessary.
  • Coding specificity: Requires precise coding to differentiate from other gastrointestinal bleeding causes.

Audit Risk Factors

  • Common coding errors: Misidentifying the type of gastrointestinal bleeding.
  • Documentation gaps: Incomplete records regarding the extent of bleeding or interventions performed.
  • Billing challenges: Potential denials due to lack of clear documentation supporting the diagnosis and treatment.

Specialty Focus

Medical Specialties

Gastroenterology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

General Surgery

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related ICD-10 Codes

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Angiodysplasia of the stomach and duodenum with bleeding has significant clinical implications, particularly in older populations where it can lead to severe anemia and hospitalization. Understanding this condition is crucial for improving patient outcomes and reducing healthcare utilization. Quality measures may include monitoring for timely diagnosis and effective management of gastrointestinal bleeding, which can enhance overall population health.

ICD-9 vs ICD-10

Angiodysplasia of the stomach and duodenum with bleeding has significant clinical implications, particularly in older populations where it can lead to severe anemia and hospitalization. Understanding this condition is crucial for improving patient outcomes and reducing healthcare utilization. Quality measures may include monitoring for timely diagnosis and effective management of gastrointestinal bleeding, which can enhance overall population health.

Reimbursement & Billing Impact

Reimbursement considerations include the complexity of the procedure and the necessity for interventions such as cauterization or surgical management. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity for the procedures performed. Coders should ensure that all relevant clinical details are captured to support the diagnosis and justify the services billed.

Resources

Clinical References

  • •
    ICD-10 Official Guidelines for K00-K99
  • •
    Clinical Documentation Requirements

Coding & Billing References

  • •
    ICD-10 Official Guidelines for K00-K99
  • •
    Clinical Documentation Requirements

Frequently Asked Questions

What specific conditions are covered by K31.811?

K31.811 specifically covers angiodysplasia of the stomach and duodenum that is associated with bleeding. This includes cases where patients present with gastrointestinal bleeding due to vascular malformations in these regions.

When should K31.811 be used instead of related codes?

K31.811 should be used when there is clear documentation of bleeding associated with angiodysplasia in the stomach or duodenum. If there is no bleeding, K31.810 should be selected instead.

What documentation supports K31.811?

Documentation should include clinical notes detailing the patient's symptoms, results from endoscopic evaluations, imaging studies, and any interventions performed to address the bleeding.