Chronic or unspecified peptic ulcer, site unspecified, with hemorrhage
ICD-10 K27.4 is a billable code used to indicate a diagnosis of chronic or unspecified peptic ulcer, site unspecified, with hemorrhage.
Chronic or unspecified peptic ulcer with hemorrhage, classified under ICD-10 code K27.4, refers to a long-standing ulceration in the gastrointestinal tract, primarily affecting the stomach or duodenum. These ulcers can lead to significant complications, including hemorrhage, which is characterized by bleeding that can be either overt or occult. Clinically, patients may present with symptoms such as epigastric pain, nausea, vomiting, and signs of gastrointestinal bleeding, such as melena or hematemesis. The anatomy involved includes the gastric mucosa and the duodenal lining, where the ulceration occurs due to an imbalance between aggressive factors (such as gastric acid and pepsin) and protective factors (such as mucus and bicarbonate). Disease progression can lead to chronic inflammation, scarring, and potential perforation if left untreated. Diagnostic considerations include endoscopy, which allows direct visualization of the ulcer, and imaging studies to assess for complications. Laboratory tests may also be performed to evaluate hemoglobin levels in cases of suspected hemorrhage.
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
K27.4 covers chronic or unspecified peptic ulcers that are associated with hemorrhage. This includes ulcers that may not have a clearly defined cause or those that have persisted over time, leading to complications such as bleeding.
K27.4 should be used when there is clear documentation of a chronic peptic ulcer with hemorrhage. If the ulcer is acute or without hemorrhage, other codes such as K25 or K26 should be considered.
Documentation should include clinical notes indicating the chronic nature of the ulcer, evidence of hemorrhage (such as lab results or endoscopic findings), and any relevant treatment plans or interventions undertaken.
