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v1.0.0
ICD-10 Guide
DiagnosesHematochezia

Hematochezia

ICD-10 Coding for Hematochezia(K92.2, K62.5, K57.31)

PRIMARY SPECIALTYEmergency Medicine
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Hematochezia?
Essential facts and insights about Hematochezia

Key Clinical Considerations:

  • Bright red blood per rectum
  • Endoscopy findings of bleeding sources
  • Abdominal tenderness or distension

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient history of gastrointestinal bleeding
  • Description of blood characteristics (e.g., volume, color)
  • Details of any diagnostic procedures performed

Coding Guidelines

Usage Guidelines & Examples

  • Follow guidelines for acute vs. chronic cases
  • Avoid using codes for non-bleeding conditions

Code Exclusions

Important Exclusions

  • Hemorrhoids (K64.9)
  • Diverticular disease (K57.9)

Related ICD-10 Codes

Primary Codes
K922
Hematochezia
Ancillary Codes
D50.0
Differential Codes
K92.1
K92.1
for black, tarry stools indicating upper GI bleeding.
K62.3
K62.3
when rectal prolapse is the source of bleeding.
K57.30
K57.30
when there is no bleeding.

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Emergency Medicine

Specialty Applications

  • Adults and children presenting with rectal bleeding
  • Emergency departments and urgent care settings

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

Documentation requirements?

Document the onset, duration, and characteristics of hematochezia.

Billing considerations?

Ensure accurate coding based on the source of bleeding and any associated conditions.