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For example, K62.5 (Rectal hemorrhage) has an Excludes1 note for: K92.1 (Melena) Hematemesis (K92.0) Neonatal GI hemorrhage (P54.3) To protect revenue, billing teams must ensure that if multiple types of bleeding are present, the provider's note explicitly states the existence of two distinct anatomical sources (e.g., a patient with both a bleeding gastric ulcer AND internal hemorrhoids)