Gastroesophageal laceration-hemorrhage syndrome

This code represents Mallory-Weiss syndrome, a condition characterized by a tear in the mucous membrane of the esophagus or gastroesophageal junction, typically caused by forceful vomiting or retching. The laceration results in bleeding, which can range from mild to severe.

Apply this code when documentation clearly indicates a diagnosis of Mallory-Weiss tear with associated hemorrhage. This often occurs in patients with a history of excessive alcohol consumption, bulimia, or other conditions leading to severe emesis. Endoscopic findings confirming a longitudinal mucosal tear at the gastroesophageal junction with active or recent bleeding support this diagnosis.

• Ensure documentation specifies hemorrhage; if no bleeding is present, a different code for esophageal laceration without hemorrhage may be more appropriate.
• Consider sequencing if an underlying condition (e.g., alcoholism, bulimia) is also being treated and is the primary reason for the encounter.
• Do not confuse with other causes of upper gastrointestinal bleeding, such as peptic ulcers or varices, unless Mallory-Weiss is explicitly documented.