Acute gastric ulcer with both hemorrhage and perforation
ICD-10 K25.2 is a billable code used to indicate a diagnosis of acute gastric ulcer with both hemorrhage and perforation.
K25.2 refers to an acute gastric ulcer characterized by the presence of both hemorrhage and perforation. This condition arises when the protective mucosal layer of the stomach is compromised, leading to ulceration that penetrates the gastric wall. Clinically, patients may present with severe abdominal pain, hematemesis (vomiting blood), melena (black, tarry stools), and signs of peritonitis due to perforation. The anatomy involved includes the gastric mucosa, submucosa, and muscularis layers, with potential involvement of surrounding structures if perforation occurs. Disease progression can be rapid, with complications such as sepsis or shock due to significant blood loss or peritoneal contamination. Diagnostic considerations include endoscopy, imaging studies (like CT scans), and laboratory tests to assess hemoglobin levels and signs of infection. Timely intervention is critical to manage this life-threatening condition effectively.
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
K25.2 covers acute gastric ulcers that are complicated by both hemorrhage and perforation. This includes ulcers that have resulted in significant bleeding and those that have created a hole in the stomach wall, leading to potential peritonitis.
K25.2 should be used when a patient presents with an acute gastric ulcer that is specifically associated with both hemorrhage and perforation. If only one of these complications is present, other codes such as K25.0 or K25.1 should be considered.
Documentation should include clinical findings of hemorrhage (e.g., lab results showing anemia, evidence of blood in vomit or stool) and imaging or surgical reports confirming perforation. Detailed notes on the patient's symptoms, treatment plan, and response to therapy are also essential.
