K92.0
K92.0: Hematemesis
Billable / specific codeICD-10-CM
K92.0 is a billable, specific ICD-10-CM code for hematemesis. It is valid for submission on a claim.
Check K92.0 with the rest of the claim: free scrubberOther codes that can never be billed with K92.0
Their own Excludes1 notes name this code, so the conflict is not listed above.
- R11Nausea and vomiting
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
K92.0 is named in 7 Medicare coverage policies: 7 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56389Billing and Coding: Upper Gastrointestinal Endoscopy and Visualization
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A56461Billing and Coding: Endoscopy by Capsule
- A56727Billing and Coding: Wireless Capsule Endoscopy
Alphabetic index entries that lead here
- Hematemesis
Code history
Unchanged in every release from FY2024 to FY2027.