Chronic or unspecified gastric ulcer with both hemorrhage and perforation
ICD-10 K25.6 is a billable code used to indicate a diagnosis of chronic or unspecified gastric ulcer with both hemorrhage and perforation.
K25.6 refers to a chronic or unspecified gastric ulcer that is complicated by both hemorrhage and perforation. Gastric ulcers are lesions that develop on the lining of the stomach, 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 abdominal pain, nausea, vomiting, and in severe cases, signs of gastrointestinal bleeding, such as melena or hematemesis. The anatomy involved includes the gastric mucosa, submucosa, and muscularis layers of the stomach. Disease progression can lead to complications like perforation, which can result in peritonitis, a life-threatening condition requiring immediate surgical intervention. Diagnostic considerations include endoscopy, imaging studies, and laboratory tests to assess hemoglobin levels and confirm the presence of an ulcer. Accurate diagnosis is crucial for effective management and treatment planning.
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
K25.6 specifically covers chronic gastric ulcers that have progressed to include both hemorrhage and perforation. This code is used when the ulcer is not classified as acute and has significant complications that require careful management.
K25.6 should be used when there is clear documentation of a chronic gastric ulcer with both hemorrhage and perforation. If the ulcer is acute or does not have both complications, other codes such as K25.0 or K25.1 should be considered.
Documentation should include clinical findings from endoscopy, imaging results, laboratory tests indicating anemia or blood loss, and a clear treatment plan that addresses both the ulcer and its complications.
