Acute duodenal ulcer without hemorrhage or perforation
ICD-10 K26.3 is a billable code used to indicate a diagnosis of acute duodenal ulcer without hemorrhage or perforation.
Acute duodenal ulcer without hemorrhage or perforation is a localized erosion in the duodenum, the first section of the small intestine, typically caused by an imbalance between aggressive factors (such as gastric acid and pepsin) and defensive factors (such as mucosal barrier and bicarbonate secretion). Clinically, patients may present with epigastric pain, nausea, and dyspepsia, often exacerbated by fasting and relieved by food or antacids. The disease progression can lead to chronic ulcers if not treated, potentially resulting in complications such as hemorrhage or perforation, although these are not present in this specific code. Diagnostic considerations include endoscopy, which allows direct visualization of the ulcer, and biopsy if malignancy is suspected. Additionally, laboratory tests may be performed to assess for H. pylori infection, a common underlying cause of duodenal ulcers. Management typically involves proton pump inhibitors, H2-receptor antagonists, and lifestyle modifications to reduce risk factors such as NSAID use and smoking.
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
K26.3 specifically covers acute duodenal ulcers that are not complicated by hemorrhage or perforation. It is essential to differentiate this condition from chronic ulcers and those with complications.
K26.3 should be used when the patient presents with an acute duodenal ulcer that is confirmed through diagnostic imaging or endoscopy, and there are no signs of bleeding or perforation.
Documentation should include clinical findings such as symptoms, diagnostic test results, treatment plans, and follow-up care. Endoscopy reports and H. pylori test results are particularly relevant.
