Chronic or unspecified peptic ulcer, site unspecified, with perforation
ICD-10 K27.5 is a billable code used to indicate a diagnosis of chronic or unspecified peptic ulcer, site unspecified, with perforation.
K27.5 refers to a chronic or unspecified peptic ulcer located at an unspecified site, which has progressed to perforation. Peptic ulcers are open sores that develop on the lining of the stomach, small intestine, or esophagus, primarily caused by Helicobacter pylori infection, prolonged use of nonsteroidal anti-inflammatory drugs (NSAIDs), or excessive alcohol consumption. The clinical presentation often includes severe abdominal pain, nausea, vomiting, and signs of gastrointestinal bleeding. The anatomy involved includes the gastric mucosa and the duodenum, where the ulcer may penetrate through the wall, leading to perforation. Disease progression can lead to peritonitis, a serious condition requiring immediate medical intervention. Diagnostic considerations include endoscopy, imaging studies, and laboratory tests to confirm the presence of H. pylori or assess for complications. Prompt diagnosis and treatment are crucial to prevent severe complications and improve patient outcomes.
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
K27.5 covers chronic or unspecified peptic ulcers that have progressed to perforation, regardless of the specific site within the gastrointestinal tract. It is essential to document the chronicity and the perforation to justify the use of this code.
K27.5 should be used when there is clear evidence of perforation in a peptic ulcer, distinguishing it from K25 and K26, which do not specify perforation. Accurate clinical documentation is critical for appropriate code selection.
Documentation must include clinical findings, imaging results, endoscopic reports, and treatment plans that confirm the diagnosis of a chronic peptic ulcer with perforation. Detailed notes on patient history and symptomatology are also necessary.
