Chronic or unspecified gastric ulcer with hemorrhage
ICD-10 K25.4 is a billable code used to indicate a diagnosis of chronic or unspecified gastric ulcer with hemorrhage.
K25.4 refers to a chronic or unspecified gastric ulcer with hemorrhage, a condition characterized by the presence of an ulcer in the gastric mucosa that has persisted over time and is associated with bleeding. The gastric ulcer occurs when the protective lining of the stomach is compromised, often due to factors such as Helicobacter pylori infection, prolonged use of nonsteroidal anti-inflammatory drugs (NSAIDs), or excessive alcohol consumption. Clinically, patients may present with symptoms such as epigastric pain, nausea, vomiting, and signs of gastrointestinal bleeding, including hematemesis or melena. The anatomy involved includes the stomach, particularly the gastric mucosa, which is susceptible to damage from acidic gastric secretions. Disease progression can lead to complications such as perforation, penetration, or malignancy if left untreated. Diagnostic considerations include endoscopy, which allows for direct visualization of the ulcer, and biopsy to rule out malignancy. Laboratory tests may also be performed to assess for anemia due to blood loss and to identify H. pylori infection.
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
K25.4 covers chronic gastric ulcers with hemorrhage, which may be due to chronic H. pylori infection, NSAID use, or other factors leading to mucosal damage and bleeding.
K25.4 should be used when there is clear documentation of a chronic gastric ulcer accompanied by hemorrhage, differentiating it from codes for acute ulcers or ulcers without hemorrhage.
Documentation should include clinical findings, endoscopic reports, evidence of bleeding, and treatment plans, as well as any relevant laboratory results indicating anemia or H. pylori status.
