Acute duodenal ulcer with perforation
ICD-10 K26.1 is a billable code used to indicate a diagnosis of acute duodenal ulcer with perforation.
Acute duodenal ulcer with perforation is a serious gastrointestinal condition characterized by a breach in the wall of the duodenum, leading to the leakage of intestinal contents into the abdominal cavity. Clinically, patients may present with sudden onset of severe abdominal pain, often described as sharp or stabbing, along with signs of peritonitis such as rigidity, rebound tenderness, and guarding. The anatomy involved includes the duodenum, which is the first part of the small intestine, and its surrounding structures, including the pancreas and liver. Disease progression can be rapid, with perforation leading to peritonitis, sepsis, and potentially life-threatening complications if not treated promptly. Diagnostic considerations include imaging studies such as abdominal X-rays or CT scans to confirm perforation, along with laboratory tests to assess for infection and electrolyte imbalances. Early diagnosis and intervention are critical to prevent morbidity and mortality associated with this condition.
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
K26.1 specifically covers acute duodenal ulcers that have resulted in perforation. This includes cases where the ulcer has breached the duodenal wall, leading to peritonitis or other complications.
K26.1 should be used when there is clear documentation of perforation associated with an acute duodenal ulcer. If there is no perforation, K26.0 should be used instead.
Documentation should include clinical notes detailing the patient's symptoms, imaging results confirming perforation, surgical reports if applicable, and any laboratory findings that support the diagnosis of an acute duodenal ulcer with perforation.
