Chronic or unspecified gastrojejunal ulcer with hemorrhage
ICD-10 K28.4 is a billable code used to indicate a diagnosis of chronic or unspecified gastrojejunal ulcer with hemorrhage.
Chronic or unspecified gastrojejunal ulcer with hemorrhage refers to a long-standing ulcer located at the gastrojejunal junction, which is the area where the stomach connects to the jejunum, the second part of the small intestine. This condition can arise from various factors, including chronic gastritis, excessive use of nonsteroidal anti-inflammatory drugs (NSAIDs), or infection with Helicobacter pylori. Clinically, patients may present with symptoms such as abdominal pain, nausea, vomiting, and signs of gastrointestinal bleeding, which can manifest as hematemesis (vomiting blood) or melena (black, tarry stools). The disease progression can lead to complications such as perforation, obstruction, or significant blood loss, necessitating urgent medical intervention. Diagnostic considerations include endoscopy for direct visualization and biopsy, imaging studies, and laboratory tests to assess hemoglobin levels and rule out other gastrointestinal disorders. Effective management often involves a combination of medication to reduce gastric acid secretion, antibiotics for H. pylori eradication, and lifestyle modifications.
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
K28.4 specifically covers chronic gastrojejunal ulcers with hemorrhage. It may also encompass unspecified ulcers in this region that present with bleeding, necessitating careful evaluation and management.
K28.4 should be used when there is a confirmed diagnosis of a chronic gastrojejunal ulcer accompanied by hemorrhage. It is essential to differentiate it from gastric and duodenal ulcers based on the location and clinical presentation.
Documentation for K28.4 should include clinical notes detailing symptoms, endoscopy reports confirming the ulcer's presence and location, and any laboratory results indicating hemorrhage or anemia.
