Gastric ulcer
Chapter 11:Diseases of the digestive system
ICD-10 K25 is a used to indicate a diagnosis of gastric ulcer.
Gastric ulcers, classified under ICD-10 code K25, are defined as mucosal lesions in the stomach that penetrate the muscularis mucosa. Clinically, patients may present with symptoms such as epigastric pain, nausea, vomiting, and in severe cases, gastrointestinal bleeding. The anatomy involved primarily includes the gastric mucosa, which can be affected by various factors including Helicobacter pylori infection, prolonged use of nonsteroidal anti-inflammatory drugs (NSAIDs), and excessive alcohol consumption. Disease progression can lead to complications such as perforation, penetration into adjacent organs, and gastric outlet obstruction. Diagnostic considerations involve endoscopy, which allows for direct visualization of the ulcer, and biopsy to rule out malignancy. Additionally, imaging studies may be utilized to assess for complications. Accurate diagnosis is crucial for effective management and treatment, which may include medications such as proton pump inhibitors, antibiotics for H. pylori eradication, and lifestyle modifications.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
K25 covers gastric ulcers, which can be classified further into acute or chronic ulcers. It also includes ulcers that may be associated with complications such as hemorrhage or perforation.
K25 should be used when the diagnosis specifically indicates a gastric ulcer, as opposed to K26 for duodenal ulcers or K27 for unspecified peptic ulcers. Accurate documentation of the ulcer's location and any complications is essential for correct code selection.
Documentation should include clinical findings from patient history, physical examination, endoscopic reports, and any imaging studies that confirm the presence of a gastric ulcer. Treatment plans and follow-up notes are also important.
