Acute peptic ulcer, site unspecified, with both hemorrhage and perforation
ICD-10 K27.2 is a billable code used to indicate a diagnosis of acute peptic ulcer, site unspecified, with both hemorrhage and perforation.
K27.2 refers to an acute peptic ulcer located at an unspecified site, characterized by the presence of both hemorrhage and perforation. Peptic ulcers are open sores that develop on the lining of the stomach, small intestine, or esophagus, primarily due to the erosion caused by stomach acid. The clinical presentation often includes severe abdominal pain, nausea, vomiting, and signs of gastrointestinal bleeding such as melena or hematemesis. The anatomy involved typically includes the gastric mucosa or duodenum, where the ulceration occurs. Disease progression can lead to complications such as perforation, which allows gastric contents to spill into the abdominal cavity, resulting in peritonitis, a life-threatening condition. Diagnostic considerations include endoscopy, imaging studies, and laboratory tests to assess hemoglobin levels and detect Helicobacter pylori infection. Timely diagnosis and intervention are crucial to prevent severe complications and ensure appropriate management of the ulcer and associated hemorrhage.
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
K27.2 specifically covers acute peptic ulcers that are accompanied by both hemorrhage and perforation. This includes ulcers that may arise from various etiologies such as NSAID use, stress, or H. pylori infection, leading to acute clinical scenarios requiring immediate medical attention.
K27.2 should be used when the clinical documentation indicates an acute peptic ulcer with both hemorrhage and perforation. If the ulcer is chronic or without complications, other codes such as K25 or K26 may be more appropriate.
Documentation must include clinical findings that confirm the presence of an acute peptic ulcer, evidence of hemorrhage (e.g., lab results showing anemia or blood in stool), and imaging or endoscopic findings indicating perforation. Comprehensive notes on the patient's history, treatment plan, and response to interventions are also essential.
