Secondary esophageal varices with bleeding

This code signifies the presence of abnormally dilated veins in the esophagus that have developed as a consequence of another underlying condition, such as portal hypertension, and are actively bleeding. This bleeding can manifest as hematemesis, melena, or occult blood loss, indicating a significant gastrointestinal hemorrhage.

Use this code when documentation clearly states secondary esophageal varices with active hemorrhage. This typically occurs in patients with liver cirrhosis, portal vein thrombosis, or other conditions leading to increased portal pressure, and the varices are identified as the source of bleeding. Documentation should specify both the presence of varices and the active bleeding.

• Always ensure documentation explicitly states "with bleeding" to use this code; otherwise, a non-bleeding varix code should be selected.
• Sequence this code as a principal diagnosis when the bleeding varices are the primary reason for admission.
• Code the underlying cause of the secondary varices (e.g., K74.60 for cirrhosis) as an additional diagnosis.