Gastrointestinal Bleeding (GI Bleed) ICD-10-CM Codes

Gastrointestinal Bleeding (GI Bleed) ICD-10-CM Codes

Discover ICD-10 codes for Gastrointestinal Bleeding, including hematemesis, melena, and ulcers. Learn billable codes, symptoms, causes, and treatments.

By Wynona Jugueta on Aug 8, 2025.

Fact Checked by Gale Alagos.

Use Code

What ICD-10 codes are used for gastrointestinal bleeding (GI bleed)?

Gastrointestinal bleeding, commonly known as GI bleed, refers to any form of bleeding within the gastrointestinal tract. Here are the widely used GI Bleed ICD codes:

  • K92.0: Hematemesis (vomiting blood)
  • K92.1: Melena (black, tarry stools)
  • K92.2: Gastrointestinal hemorrhage, unspecified
  • K25.0: Acute gastric ulcer with hemorrhage
  • K26.0: Acute duodenal ulcer with hemorrhage
  • K27.0: Acute peptic ulcer of unspecified site with hemorrhage

Which gastrointestinal bleeding (GI bleed) ICD codes are billable?

Accurate coding for gastrointestinal bleeding (GI bleed) is critical for proper reimbursement and clinical documentation. Below are the billable ICD-10 codes associated with GI bleeding:

  • K92.0 – Hematemesis: Billable. This is used when a patient presents with vomiting blood, often caused by a peptic ulcer with hemorrhage, acute hemorrhagic gastritis, or gastrojejunal ulcer.
  • K92.1 – Melena: Billable. This indicates black, tarry stools, often pointing to an upper digestive system bleed.
  • K92.2 – Unspecified gastrointestinal hemorrhage: Billable. This captures unspecified gastric hemorrhage when the exact source of bleeding is unclear.
  • K25.0 – Acute gastric ulcer with hemorrhage: Billable. This is linked with acute hemorrhagic gastritis and other ulcerative conditions.
  • K26.0 – Acute duodenal ulcer with hemorrhage: Billable. This applies when the duodenum is the site of active ulceration and bleeding.
  • K27.0 – Acute peptic ulcer, unspecified site, with hemorrhage: Billable. This is used when the site isn’t clearly defined, but a peptic ulcer with hemorrhage is diagnosed.

Clinical information

Gastrointestinal bleeding is a potentially life-threatening disease of the digestive system that can result from a variety of conditions. These include diverticular disease with hemorrhage, ulcerative colitis, gastrojejunal ulcers, and even neonatal gastrointestinal hemorrhage in infants. The large intestine, stomach, and small bowel are common sites.

Common symptoms

  • Vomiting blood (hematemesis)
  • Black or tarry stools (melena)
  • Bright red rectal bleeding
  • Abdominal pain and fatigue

Causes of GI bleeding

  • Diverticular disease
  • Peptic and gastrojejunal ulcers
  • Ulcerative colitis and other diseases of the digestive tract
  • Use of NSAIDs or anticoagulants
  • Neonatal gastrointestinal hemorrhage (in newborns)

Diagnostic process

Diagnosis typically includes:

  • Endoscopy
  • Imaging studies
  • Stool analysis
  • Complete blood count and coagulation lab tests

Treatment options

  • Proton pump inhibitors and other medications
  • Endoscopic therapies (like clipping or cauterization)
  • Surgical intervention when bleeding is uncontrollable
  • Monitoring for hemorrhage without CC MCC status for billing and documentation purposes

Early and accurate diagnosis ensures better outcomes and reduces the risk of complications such as anemia or hypovolemic shock. Whether it’s a clear case of acute hemorrhagic gastritis or a less defined digestive system disease, appropriate coding helps track patient care and supports clinical research.

Synonyms include:

  • GI hemorrhage
  • Bleeding ulcer
  • Hematemesis
  • Melena
  • Gastric bleeding

Commonly asked questions

Treatment for gastrointestinal bleeding depends on the source and severity, but often includes medications, endoscopic procedures, or surgery. Stabilizing the patient with IV fluids and blood transfusions may also be necessary in more severe cases.

Common causes include peptic ulcers, diverticular disease, ulcerative colitis, and gastrointestinal cancers. Other causes may include hemorrhoids, Mallory-Weiss tears, and acute hemorrhagic gastritis.

Diagnosis typically involves a combination of endoscopy, imaging studies, and lab tests such as complete blood counts. Identifying the bleeding source early is crucial for effective treatment and management.

Related ICDs

EHR and practice management software

Get started for free

*No credit card required

Free

$0/usd

Unlimited clients

Telehealth

1GB of storage

Client portal text

Automated billing and online payments