Chronic or unspecified peptic ulcer, site unspecified, with both hemorrhage and perforation
ICD-10 K27.6 is a billable code used to indicate a diagnosis of chronic or unspecified peptic ulcer, site unspecified, with both hemorrhage and perforation.
K27.6 refers to a chronic or unspecified peptic ulcer located at an unspecified site, characterized by the presence of both hemorrhage and perforation. Peptic ulcers are open sores that develop on the lining of the stomach, small intestine, or esophagus, primarily due to the erosion caused by stomach acid. The chronic nature of this condition indicates a long-standing ulcer that may have resulted from factors such as Helicobacter pylori infection, prolonged use of nonsteroidal anti-inflammatory drugs (NSAIDs), or excessive alcohol consumption. Clinically, patients may present with severe abdominal pain, gastrointestinal bleeding, and signs of perforation, such as sudden onset of severe pain, peritonitis, and shock. Diagnostic considerations include endoscopy, imaging studies, and laboratory tests to assess hemoglobin levels and identify the source of bleeding. The management of K27.6 typically involves a combination of medical therapy, such as proton pump inhibitors and antibiotics, and surgical intervention in cases of perforation or uncontrolled 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
K27.6 covers chronic peptic ulcers with both hemorrhage and perforation. It includes ulcers that may not have a clearly defined site but exhibit severe complications requiring immediate medical attention.
K27.6 should be used when a peptic ulcer is chronic and presents with both hemorrhage and perforation. It is essential to differentiate it from codes that represent uncomplicated ulcers or those without hemorrhage.
Documentation must include clinical findings of chronic ulceration, evidence of hemorrhage (e.g., lab results indicating anemia), and confirmation of perforation through imaging or surgical reports.
