Chronic or unspecified gastrojejunal ulcer with perforation
ICD-10 K28.5 is a billable code used to indicate a diagnosis of chronic or unspecified gastrojejunal ulcer with perforation.
Chronic or unspecified gastrojejunal ulcer with perforation is a serious gastrointestinal condition characterized by the formation of an ulcer in the gastrojejunal region, which is the junction between the stomach and the jejunum (the second part of the small intestine). Clinically, patients may present with severe abdominal pain, nausea, vomiting, and signs of peritonitis due to the perforation, which can lead to leakage of gastric contents into the abdominal cavity. The anatomy involved includes the stomach, jejunum, and surrounding structures such as the peritoneum. Disease progression can lead to complications such as sepsis, abscess formation, and significant morbidity if not addressed promptly. Diagnostic considerations include imaging studies like CT scans to confirm perforation and endoscopy for direct visualization and assessment of the ulcer. Laboratory tests may also be performed to evaluate for signs of infection or anemia resulting from chronic blood loss. Early diagnosis and intervention are crucial to prevent life-threatening complications 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
K28.5 covers chronic gastrojejunal ulcers that have progressed to perforation. This includes ulcers that may have been previously diagnosed as chronic but have developed complications leading to perforation.
K28.5 should be used when there is clear documentation of a perforated gastrojejunal ulcer. If the ulcer is chronic but not perforated, K28.4 should be used instead.
Documentation should include clinical findings, imaging results confirming perforation, treatment plans, and any surgical notes if applicable. Detailed notes on the patient's symptoms and history of ulcer disease are also crucial.
