Acute peptic ulcer, site unspecified, with hemorrhage
ICD-10 K27.0 is a billable code used to indicate a diagnosis of acute peptic ulcer, site unspecified, with hemorrhage.
Acute peptic ulcer, site unspecified, with hemorrhage, is characterized by a sudden onset of ulceration in the gastric or duodenal mucosa, leading to bleeding. The anatomy involved primarily includes the stomach and the first part of the small intestine (duodenum). Clinically, patients may present with symptoms such as epigastric pain, nausea, vomiting (which may include blood), and signs of gastrointestinal bleeding such as melena or hematemesis. The disease progression can vary; if untreated, acute peptic ulcers can lead to serious complications including perforation, peritonitis, and significant blood loss. Diagnostic considerations include endoscopy, which allows for direct visualization of the ulcer, and imaging studies to assess for complications. Laboratory tests may reveal anemia due to blood loss. The management of acute peptic ulcers often involves proton pump inhibitors, H2-receptor antagonists, and, in cases of significant hemorrhage, surgical intervention may be necessary. Understanding the underlying causes, such as Helicobacter pylori infection or NSAID use, is crucial for effective treatment and prevention of recurrence.
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
K27.0 specifically covers acute peptic ulcers with hemorrhage that are not localized to the stomach or duodenum. It includes cases where the ulcer may not be clearly identified but presents with bleeding.
K27.0 should be used when there is an acute peptic ulcer with documented hemorrhage, particularly when the site is unspecified. If the site is known, K25 or K26 should be used instead.
Documentation should include clinical findings of an acute ulcer, evidence of hemorrhage (such as lab results indicating anemia or endoscopic findings), and treatment details. Clear notes on symptoms and diagnostic procedures are critical.
