Melena
ICD-10 K92.1 is a billable code used to indicate a diagnosis of melena.
Melena refers to the passage of black, tarry stools, which is indicative of upper gastrointestinal bleeding. The black coloration is due to the digestion of blood as it passes through the gastrointestinal tract. Common causes of melena include peptic ulcers, esophageal varices, gastritis, and malignancies. The anatomy involved primarily includes the stomach and the upper part of the small intestine, where bleeding typically occurs. Disease progression can vary; if the underlying cause is not identified and treated promptly, it may lead to significant blood loss, anemia, and potentially life-threatening complications. Diagnostic considerations for melena include a thorough patient history, physical examination, and diagnostic tests such as endoscopy, which can help identify the source of bleeding. Laboratory tests, including complete blood count (CBC) and coagulation studies, are also essential to assess the severity of blood loss and the patient's overall health status.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
K92.1 covers melena resulting from various conditions such as peptic ulcers, esophageal varices, and malignancies of the upper gastrointestinal tract. It is crucial to document the underlying cause to ensure accurate coding.
K92.1 should be used when the patient presents with black, tarry stools indicative of upper GI bleeding. It is important to differentiate it from K92.0 (Hematemesis) and other codes that may pertain to lower GI bleeding.
Documentation should include a detailed history of the patient's symptoms, results from diagnostic tests (such as endoscopy), and any identified underlying conditions contributing to melena.
