AHA Coding Clinic® for ICD-9 - 1990 Fourth Quarter

Acute Gastrointestinal (GI) Hemorrhage

Gastrointestinal hemorrhage manifests itself in several ways: Hematemesis, indicating acute upper GI hemorrhage Melena, indicating upper or lower GI hemorrhage Occult, bleeding seen on laboratory examination only Hematochezia, usually indicating blood from the rectum There are multiple etiologies for GI bleeding. The presentation can vary from that of occult bleeding to acute hemorrhage. In those patients who present with acute hemorrhage, as manifested by significant hematemesis, melena, and/or hematochezia, the initial focus of treatment is usually assessment and restoration of the individual's blood volume using IV fluids and blood transfusions as needed. In most cases, bleeding will cease spontaneously...

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