K94.21
BillableGastrostomy hemorrhage
HCC Category Mapping
V28HCC 463 — Artificial Openings for Feeding or Elimination
0.233V24HCC 188 — Artificial Openings for Feeding or Elimination
0.570ESRDHCC 188 — Artificial Openings for Feeding or Elimination
0.000What This Code Means
Bleeding that occurs from a gastrostomy site, which may present as blood in drainage or visible hemorrhage from the feeding tube opening.
Coding Tips
- •Document the severity and whether the bleeding required intervention such as transfusion or endoscopic treatment
- •Distinguish between minor oozing and significant hemorrhage, as this may affect clinical management and coding specificity
Clinical Significance
Gastrostomy hemorrhage represents a serious complication requiring immediate assessment and intervention to prevent significant blood loss. This diagnosis indicates ongoing bleeding from the gastrostomy site that may compromise patient stability and nutritional status.
Documentation Requirements
- ✓Presence of active gastrostomy tube
- ✓Evidence of bleeding from gastrostomy site (visible blood, bloody drainage)
- ✓Documentation of hemorrhage severity and hemodynamic status
- ✓Assessment findings including vital signs and blood loss quantification
- ✓Treatment interventions attempted or planned
- ✓Hemoglobin/hematocrit levels if available
- ✓Gastrostomy tube type and insertion date
- ✓Any underlying coagulopathy or anticoagulant use
Commonly Confused Codes
K92.2 — Gastrointestinal hemorrhage not specifically from gastrostomyT85.838A — Other specified complication of gastrostomy tube, initial encounterK94.29 — Other gastrostomy complications without hemorrhageK92.1 — Melena from upper GI source other than gastrostomyT85.898A — Other specified complication of internal prosthetic devices