Acute peptic ulcer, site unspecified, without hemorrhage or perforation
ICD-10 K27.3 is a billable code used to indicate a diagnosis of acute peptic ulcer, site unspecified, without hemorrhage or perforation.
Acute peptic ulcer, site unspecified, without hemorrhage or perforation, refers to a sudden onset of ulceration in the gastric or duodenal mucosa, characterized by localized inflammation and erosion. Clinically, patients may present with epigastric pain, nausea, and dyspepsia, which can vary in intensity. The anatomy involved primarily includes the stomach and the first part of the small intestine (duodenum). The disease progression can lead to complications if untreated, including chronic ulcers or potential hemorrhage and perforation, although these are not present in this specific code. Diagnostic considerations include patient history, physical examination, and potentially endoscopic evaluation to confirm the presence of an ulcer. Laboratory tests may also be utilized to rule out Helicobacter pylori infection, which is a common underlying cause of peptic ulcers. Proper identification and coding of this condition are crucial for appropriate management and treatment planning.
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
K27.3 covers acute peptic ulcers that have not resulted in hemorrhage or perforation, specifically when the site of the ulcer is unspecified. It is important to differentiate this from chronic ulcers or those with complications.
K27.3 should be used when a patient presents with acute symptoms indicative of a peptic ulcer without complications. If the ulcer is specified as gastric or duodenal, or if there are complications such as hemorrhage or perforation, other specific codes (K25 or K26) should be utilized.
Documentation should include a detailed patient history, clinical findings, results from diagnostic tests (such as endoscopy), and treatment plans. Clear notes on the absence of complications are essential for accurate coding.
