Chronic peptic ulcer, site unspecified, without hemorrhage or perforation
ICD-10 K27.7 is a billable code used to indicate a diagnosis of chronic peptic ulcer, site unspecified, without hemorrhage or perforation.
Chronic peptic ulcer, site unspecified, without hemorrhage or perforation, refers to a long-standing ulceration of the gastric or duodenal mucosa that has not resulted in acute complications such as bleeding or perforation. Clinically, patients may present with symptoms such as epigastric pain, dyspepsia, and nausea, which can vary in intensity. The anatomy involved primarily includes the stomach and the proximal part of the small intestine (duodenum). Over time, chronic ulcers can lead to complications like scarring or strictures but remain asymptomatic in some patients. Diagnosis typically involves a combination of patient history, physical examination, and diagnostic imaging or endoscopy to visualize the ulcer. Laboratory tests may also be conducted to rule out Helicobacter pylori infection, which is a common contributing factor. The chronic nature of this condition necessitates ongoing management and monitoring to prevent complications.
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
K27.7 covers chronic peptic ulcers that are not specified as gastric or duodenal and do not present with hemorrhage or perforation. It is essential to differentiate this from acute ulcers or those with complications.
K27.7 should be used when the ulcer is chronic, unspecified, and without complications. If the ulcer is specified as gastric or duodenal, or if there are complications such as hemorrhage or perforation, other codes should be selected.
Documentation should include a clear diagnosis of chronic peptic ulcer, patient symptoms, treatment plans, and any diagnostic tests performed. Evidence of ongoing management and monitoring is also crucial.
