Acute peptic ulcer, site unspecified, with perforation
ICD-10 K27.1 is a billable code used to indicate a diagnosis of acute peptic ulcer, site unspecified, with perforation.
Acute peptic ulcer with perforation is a serious gastrointestinal condition characterized by a breach in the wall of the stomach or duodenum, leading to the leakage of gastric contents into the peritoneal cavity. Clinically, patients may present with sudden onset of severe abdominal pain, often described as sharp or stabbing, accompanied by signs of peritonitis such as rigidity, rebound tenderness, and guarding. The anatomy involved includes the gastric mucosa and the underlying layers of the stomach wall. Disease progression can be rapid, with perforation leading to peritonitis, sepsis, and potentially life-threatening complications if not addressed promptly. Diagnostic considerations include imaging studies such as abdominal X-rays or CT scans to confirm perforation, along with laboratory tests to assess for infection and electrolyte imbalances. Timely diagnosis and intervention are crucial to prevent morbidity and mortality 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
K27.1 specifically covers acute peptic ulcers that have resulted in perforation, which may occur in the stomach or duodenum. It does not include ulcers that are chronic or those without perforation.
K27.1 should be used when there is clear documentation of an acute peptic ulcer with perforation. If the ulcer is present without perforation, K27.0 should be selected. Accurate documentation of the clinical findings is essential for appropriate code selection.
Documentation should include clinical notes detailing the patient's symptoms, physical examination findings indicating perforation, imaging results confirming the diagnosis, and any surgical interventions performed. Clear documentation of the acute nature of the ulcer is critical.
