Acute gastrojejunal ulcer with both hemorrhage and perforation
ICD-10 K28.2 is a billable code used to indicate a diagnosis of acute gastrojejunal ulcer with both hemorrhage and perforation.
K28.2 refers to an acute gastrojejunal ulcer characterized by both hemorrhage and perforation. This condition typically arises in the context of peptic ulcer disease, where the ulceration occurs at the gastrojejunal junction, often due to factors such as chronic use of nonsteroidal anti-inflammatory drugs (NSAIDs), excessive alcohol consumption, or infection with Helicobacter pylori. Clinically, patients may present with severe abdominal pain, hematemesis (vomiting blood), melena (black, tarry stools), and signs of peritonitis if perforation occurs. The anatomy involved includes the stomach and the proximal small intestine, specifically the jejunum. Disease progression can lead to significant complications, including shock due to hemorrhage or peritonitis from perforation, necessitating urgent medical intervention. Diagnostic considerations include endoscopy, imaging studies such as CT scans, and laboratory tests to assess hemoglobin levels and signs of infection. Early recognition and treatment are crucial to prevent life-threatening 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
K28.2 specifically covers acute gastrojejunal ulcers that are complicated by both hemorrhage and perforation. This includes ulcers that have progressed to cause significant bleeding and those that have breached the gastrointestinal wall, leading to peritonitis.
K28.2 should be used when there is clear evidence of both hemorrhage and perforation associated with a gastrojejunal ulcer. If only one of these complications is present, or if the ulcer is located elsewhere, other codes such as K25 or K26 should be considered.
Documentation supporting K28.2 should include clinical notes detailing the patient's symptoms, results from imaging studies confirming the presence of an ulcer, evidence of hemorrhage (e.g., lab results showing anemia), and any surgical reports if an intervention was performed.
