K94.31

Billable

Esophagostomy hemorrhage

HCC Category Mapping

V28HCC 463 — Artificial Openings for Feeding or Elimination

0.233

V24HCC 188 — Artificial Openings for Feeding or Elimination

0.570

ESRDHCC 188 — Artificial Openings for Feeding or Elimination

0.000

What This Code Means

Bleeding that occurs from an esophagostomy site, which may present as blood in drainage, hemoptysis, or visible hemorrhage from the esophageal opening.

Coding Tips

•Document the amount and severity of bleeding and any interventions performed
•Note whether bleeding is ongoing or has resolved, as this affects clinical management decisions

Clinical Significance

Esophagostomy hemorrhage represents a serious complication that can lead to significant bleeding and hemodynamic instability. This diagnosis indicates active bleeding from the esophagostomy site requiring immediate medical intervention and monitoring.

Documentation Requirements

✓Presence of esophagostomy
✓Evidence of active bleeding from esophagostomy site
✓Hemodynamic assessment and vital signs
✓Quantification of blood loss when possible
✓Hemoglobin and hematocrit levels
✓Treatment interventions for hemorrhage control
✓Assessment of bleeding severity and source
✓Any underlying coagulopathy or medication effects

Commonly Confused Codes

K92.2 — Gastrointestinal hemorrhage not from esophagostomy I85.01 — Esophageal varices with bleeding K94.30 — Unspecified esophagostomy complications T85.838A — Other complication of esophagostomy tube K22.8 — Other specified diseases of esophagus

Code Hierarchy

└K94Complications of artificial openings of the digestive system └K94.3Esophagostomy complications └K94.31Esophagostomy hemorrhage

└K94.31Esophagostomy hemorrhage