Gastrostomy hemorrhage

This code signifies bleeding that originates from a gastrostomy site. This hemorrhage can occur internally within the gastrointestinal tract or externally around the stoma, and may be an acute or chronic complication of the gastrostomy tube placement or maintenance.

Assign this code when documentation clearly indicates bleeding associated with a gastrostomy. This includes bleeding from the stoma site, internal bleeding evidenced by melena or hematemesis in a patient with a gastrostomy, or bleeding identified during endoscopy near the gastrostomy tube.

• Always specify the type of gastrostomy (e.g., percutaneous endoscopic gastrostomy [PEG], surgical gastrostomy) if documented, using an additional code if available.
• Code any associated anemia due to acute blood loss separately, if documented.
• Distinguish from other gastrointestinal hemorrhages not directly related to the gastrostomy site.