Acute gastrojejunal ulcer without hemorrhage or perforation
ICD-10 K28.3 is a billable code used to indicate a diagnosis of acute gastrojejunal ulcer without hemorrhage or perforation.
Acute gastrojejunal ulcer without hemorrhage or perforation is a 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 symptoms such as abdominal pain, nausea, vomiting, and dyspepsia. The anatomy involved includes the stomach, where gastric acid secretion can contribute to ulcer formation, and the jejunum, where the ulcer can lead to complications if untreated. Disease progression can vary; while some patients may experience resolution with appropriate medical management, others may develop chronic ulcers or complications if the underlying causes, such as Helicobacter pylori infection or NSAID use, are not addressed. Diagnostic considerations include endoscopy for direct visualization of the ulcer, imaging studies, and laboratory tests to rule out other gastrointestinal disorders. Accurate diagnosis is crucial for effective treatment and management of this condition.
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
K28.3 specifically covers acute gastrojejunal ulcers that are not complicated by hemorrhage or perforation. It is important to differentiate this condition from chronic ulcers and other gastrointestinal disorders.
K28.3 should be used when the ulcer is confirmed to be acute and without complications such as bleeding or perforation. If there are signs of hemorrhage or perforation, the appropriate related codes (K28.0 or K28.1) should be utilized.
Documentation should include clinical findings, diagnostic imaging results, endoscopy reports, and treatment plans. Clear notes indicating the absence of complications are essential for supporting the use of K28.3.