Acute duodenal ulcer with both hemorrhage and perforation
ICD-10 K26.2 is a billable code used to indicate a diagnosis of acute duodenal ulcer with both hemorrhage and perforation.
K26.2 refers to an acute duodenal ulcer characterized by both hemorrhage and perforation. The duodenum is the first section of the small intestine, and ulcers in this area can arise due to various factors, including excessive use of nonsteroidal anti-inflammatory drugs (NSAIDs), infection with Helicobacter pylori, and excessive alcohol consumption. Clinically, patients may present with severe abdominal pain, hematemesis (vomiting blood), melena (black, tarry stools), and signs of peritonitis if perforation occurs. The progression of this condition can lead to significant morbidity, including shock due to hemorrhage or peritonitis due to leakage of intestinal contents into the abdominal cavity. Diagnostic considerations include endoscopy, which allows for direct visualization of the ulcer, and imaging studies such as CT scans to assess for perforation. Prompt diagnosis and intervention are crucial to prevent complications and improve patient outcomes.
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
K26.2 covers acute duodenal ulcers that are complicated by both hemorrhage and perforation. This includes cases where the ulcer has led to significant bleeding and has created a hole in the duodenal wall, necessitating urgent medical attention.
K26.2 should be used when the clinical scenario involves both hemorrhage and perforation of a duodenal ulcer. If only one of these complications is present, other codes such as K26.0 or K26.1 should be considered.
Documentation should include clinical findings such as symptoms of hemorrhage (e.g., hematemesis, melena), imaging results showing perforation, and any surgical notes if applicable. Comprehensive notes detailing the patient's history and treatment plan are essential.
