2026 ICD-10-CM Diagnosis Code K92.1Melena

ICD-10-CM CodesK00–K95K90-K95K92

ICD-10-CM K92.1
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

K92.1 is a billable ICD-10-CM diagnosis code for melena. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 377 through 379. Coders also document this condition as blood clots in stool. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Gastrointestinal hemorrhage.

Code Identity

ICD-10-CM Code
K92.1
Billable Status
Yes — Valid for Submission
Code Describes
Melena
Short Description
Melena
Same as the full description in the CMS dataset.
Parent Code
Other diseases of digestive system

Code Classification

ChapterK00–K95Diseases of the digestive system
SectionK90-K95Other diseases of the digestive system
CategoryK92Other diseases of digestive system
This CodeK92.1Melena

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Blood clots in stool
  • Blood-tinged feces
  • Hematochezia
  • Melena
  • Melena due to gastrointestinal hemorrhage

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Type 1 Excludes

  • occult blood in feces R19.5

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Abnormal, abnormality, abnormalities
      • stool (color) (contents) (mucus)
        • bloody
    • Blood
      • in
        • feces
    • Hematochezia
    • Melena

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR DIG021
Gastrointestinal hemorrhage
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Melena

    the black, tarry, foul-smelling feces that contain degraded blood.
  • Feces

    excrement from the intestines, containing unabsorbed solids, waste products, secretions, and bacteria of the digestive system.

Patient EducationClinical

Gastrointestinal 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.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert K92.1 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
578.1 Blood in stool
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About K92.1Overview

Is K92.1 (Other diseases of digestive system) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report melena on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does K92.1 group to?

When melena is the principal diagnosis on an inpatient stay, it groups to MS-DRG 377, 378, 379, with relative weights from 0.6304 to 1.8280 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of K92.1?

Under the General Equivalence Mappings, melena converts to ICD-9-CM 578.1 (blood in stool). The mapping is a direct match.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.