Acute gastrojejunal ulcer with perforation
ICD-10 K28.1 is a billable code used to indicate a diagnosis of acute gastrojejunal ulcer with perforation.
Acute gastrojejunal ulcer with perforation is a severe gastrointestinal condition characterized by the formation of an ulcer in the gastrojejunal region, which is the junction between the stomach and the jejunum. This condition typically presents with acute abdominal pain, nausea, vomiting, and signs of peritonitis due to the perforation. The anatomy involved includes the stomach, jejunum, and surrounding peritoneal cavity. Disease progression can lead to significant complications, including sepsis and shock if not promptly addressed. Diagnostic considerations include imaging studies such as CT scans to confirm perforation and endoscopy for direct visualization. Laboratory tests may reveal signs of infection or anemia. Timely diagnosis and intervention are critical to prevent life-threatening outcomes, making this condition a surgical emergency requiring immediate attention.
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
K28.1 specifically covers acute gastrojejunal ulcers that have progressed to perforation. This includes ulcers that may arise from chronic conditions, medication use (such as NSAIDs), or other etiologies leading to ulceration and subsequent perforation.
K28.1 should be used when there is clear evidence of perforation in the gastrojejunal region. If the ulcer is non-perforated, K25 or K26 should be considered. Documentation must support the acute nature and complications of the ulcer.
Documentation must include clinical findings such as acute abdominal pain, imaging results confirming perforation, surgical notes if applicable, and any laboratory results indicating infection or complications. Comprehensive notes detailing the patient's history and treatment plan are also essential.
