Chronic or unspecified gastric ulcer with perforation
ICD-10 K25.5 is a billable code used to indicate a diagnosis of chronic or unspecified gastric ulcer with perforation.
K25.5 refers to a chronic or unspecified gastric ulcer with perforation, a serious condition characterized by the erosion of the stomach lining that can lead to a hole (perforation) in the stomach wall. This condition typically presents with severe abdominal pain, nausea, vomiting, and signs of internal bleeding, such as hematemesis or melena. The anatomy involved includes the stomach, particularly the gastric mucosa, which becomes compromised due to factors such as chronic inflammation, infection (often by Helicobacter pylori), excessive use of nonsteroidal anti-inflammatory drugs (NSAIDs), or stress-related mucosal disease. Disease progression can lead to complications such as peritonitis, sepsis, and shock if not promptly treated. Diagnostic considerations include endoscopy, imaging studies like CT scans, and laboratory tests to assess for anemia or infection. Early recognition and intervention are crucial to prevent life-threatening outcomes associated with perforated ulcers.
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
K25.5 covers chronic gastric ulcers that have progressed to perforation, which may arise from untreated chronic ulcers or complications from other gastrointestinal disorders. It is essential to document the chronic nature and the presence of perforation.
K25.5 should be used when there is clear evidence of a chronic gastric ulcer that has perforated. If the ulcer is acute or has not perforated, other codes such as K25.0 or K25.1 should be considered.
Documentation should include clinical findings that confirm the chronic nature of the ulcer, imaging studies showing perforation, and any surgical reports detailing the intervention performed.
