ICD-9 Diagnosis Code 456.20

Bleed esoph var oth dis

Diagnosis Code 456.20

ICD-9: 456.20
Short Description: Bleed esoph var oth dis
Long Description: Esophageal varices in diseases classified elsewhere, with bleeding
This is the 2014 version of the ICD-9-CM diagnosis code 456.20

Code Classification
  • Diseases of the circulatory system
    • Diseases of veins and lymphatics, and other diseases of circulatory system (451-459)
      • 456 Varicose veins of other sites

Information for Medical Professionals

Code Edits
The following edits are applicable to this code:
Manifestations not allowed as principal diagnosis Additional informationCallout TooltipManifestations not allowed as principal diagnosis
Manifestations not allowed as principal diagnosis: Manifestation codes describe the manifestation of an underlying disease, not the disease itself, and therefore should not be used as a principal diagnosis.

Convert to ICD-10 Additional informationCallout TooltipGeneral Equivalence Map
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.
  • I85.11 - Secondary esophageal varices with bleeding

  • Esophageal varices with bleeding, associated with another disorder

Index of Diseases and Injuries
References found for the code 456.20 in the Index of Diseases and Injuries:

    • Varix (lower extremity) (ruptured) 454.9
      • esophagus (ulcerated) 456.1
        • bleeding 456.0
          • in
            • cirrhosis of liver 571.5 [456.20]
            • portal hypertension 572.3 [456.20]
        • in
          • cirrhosis of liver 571.5 [456.21]
            • with bleeding 571.5 [456.20]
          • portal hypertension 572.3 [456.21]
            • with bleeding 572.3 [456.20]

Information for Patients

Esophagus Disorders

The esophagus is the tube that carries food, liquids and saliva from your mouth to the stomach. You may not be aware of your esophagus until you swallow something too large, too hot or too cold. You may also become aware of it when something is wrong.

The most common problem with the esophagus is gastroesophageal reflux disease (GERD). It happens when a band of muscle at the end of your esophagus does not close properly. This allows stomach contents to leak back, or reflux, into the esophagus and irritate it. Over time, GERD can cause damage to the esophagus. Other problems include heartburn and cancer.

Treatment depends on the problem. Some get better with over-the-counter medicines or changes in diet. Others may need prescription medicines or surgery.

  • Achalasia
  • Barrett's esophagus
  • Bleeding esophageal varices
  • Diet and eating after esophagectomy
  • Esophageal atresia
  • Esophageal manometry
  • Esophageal perforation
  • Esophageal spasm
  • Esophageal stricture - benign
  • Esophagectomy - discharge
  • Esophagitis
  • Esophagitis - infectious
  • Lower esophageal ring (Schatzki)
  • Mallory-Weiss tear
  • Swallowing problems
  • Tracheoesophageal fistula and esophageal atresia repair
  • Upper GI and small bowel series

[Read More]

Gastrointestinal Bleeding

Also called: GI bleeding

Your digestive or gastrointestinal (GI) tract includes the esophagus, stomach, small intestine, large intestine or colon, rectum, and anus. Bleeding can come from any of these areas. The amount of bleeding can be so small that only a lab test can find it.

Signs of bleeding in the digestive tract depend where it is and how much bleeding there is.

Signs of bleeding in the upper digestive tract include

  • Bright red blood in vomit
  • Vomit that looks like coffee grounds
  • Black or tarry stool
  • Dark blood mixed with stool

Signs of bleeding in the lower digestive tract include

  • Black or tarry stool
  • Dark blood mixed with stool
  • Stool mixed or coated with bright red blood

GI bleeding is not a disease, but a symptom of a disease. There are many possible causes of GI bleeding, including hemorrhoids, peptic ulcers, tears or inflammation in the esophagus, diverticulosis and diverticulitis, ulcerative colitis and Crohn's disease, colonic polyps, or cancer in the colon, stomach or esophagus.

The test used most often to look for the cause of GI bleeding is called endoscopy. It uses a flexible instrument inserted through the mouth or rectum to view the inside of the GI tract. A type of endoscopy called colonoscopy looks at the large intestine.

NIH: National Institute of Diabetes and Digestive and Kidney Diseases

  • Bleeding esophageal varices
  • Bloody or tarry stools
  • Gastrointestinal bleeding
  • Lower GI Series - NIH (National Institute of Diabetes and Digestive and Kidney Diseases)
  • Mallory-Weiss tear
  • Mesenteric angiography
  • RBC nuclear scan
  • Stool guaiac test
  • Vomiting blood

[Read More]
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