Gastrojejunal ulcer
Chapter 11:Diseases of the digestive system
ICD-10 K28 is a used to indicate a diagnosis of gastrojejunal ulcer.
Gastrojejunal ulcer (K28) refers to an ulceration that occurs at the site where the stomach connects to the jejunum, which is part of the small intestine. This condition often arises as a complication of gastric surgery, particularly procedures like gastric bypass, where the normal anatomy of the digestive tract is altered. Clinically, patients may present with symptoms such as abdominal pain, nausea, vomiting, and gastrointestinal bleeding. The anatomy involved includes the stomach, jejunum, and the surrounding structures, which may be affected by the ulceration. Disease progression can lead to complications such as perforation, obstruction, or significant blood loss if not managed appropriately. Diagnostic considerations include endoscopy for direct visualization, imaging studies, and laboratory tests to assess for anemia or infection. Early identification and management are crucial to prevent serious complications and ensure optimal 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
K28 specifically covers gastrojejunal ulcers, which can occur post-surgically, particularly after gastric bypass or other bariatric surgeries. It does not cover ulcers located in the stomach or duodenum.
K28 should be used when the ulcer is specifically located at the gastrojejunal junction, especially in patients with a history of gastric surgery. It is important to differentiate it from gastric (K25) and duodenal ulcers (K26) based on the anatomical location.
Documentation should include a detailed surgical history, clinical symptoms, results from endoscopic evaluations, and any imaging studies that confirm the diagnosis of a gastrojejunal ulcer.
