Acute gastrojejunal ulcer with hemorrhage
ICD-10 K28.0 is a billable code used to indicate a diagnosis of acute gastrojejunal ulcer with hemorrhage.
K28.0 refers to an acute gastrojejunal ulcer with hemorrhage, a serious gastrointestinal condition characterized by the formation of an ulcer in the gastrojejunal region, which is the junction between the stomach and the jejunum (the second part of the small intestine). Clinically, patients may present with severe abdominal pain, hematemesis (vomiting blood), melena (black, tarry stools), and signs of anemia due to blood loss. The anatomy involved includes the stomach, jejunum, and surrounding structures, which can be affected by the ulceration. Disease progression can lead to complications such as perforation, peritonitis, and significant hemorrhage, necessitating urgent medical intervention. Diagnostic considerations include endoscopy, imaging studies, and laboratory tests to assess hemoglobin levels and identify the source of bleeding. Early 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
K28.0 specifically covers acute gastrojejunal ulcers that present with hemorrhage. This includes ulcers that may arise from various etiologies such as peptic ulcer disease, stress-related mucosal disease, or complications from surgical procedures.
K28.0 should be used when there is clear evidence of an acute gastrojejunal ulcer with active hemorrhage. It is important to differentiate this from K25 and K26 codes, which pertain to gastric and duodenal ulcers without hemorrhage.
Documentation must include clinical findings such as endoscopic reports showing the ulcer, evidence of hemorrhage (e.g., lab results indicating anemia), and treatment plans that address the acute nature of the condition.
