Chronic gastrojejunal ulcer without hemorrhage or perforation
ICD-10 K28.7 is a billable code used to indicate a diagnosis of chronic gastrojejunal ulcer without hemorrhage or perforation.
Chronic gastrojejunal ulcer without hemorrhage or perforation is a condition characterized by the presence 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 weight loss. The ulceration can result from various factors including chronic gastritis, excessive acid production, or complications from previous gastric surgeries such as gastric bypass. The anatomy involved includes the stomach, jejunum, and surrounding structures, which may be affected by the ulcer's presence. Disease progression can lead to complications if left untreated, although this specific code indicates that there is no hemorrhage or perforation at the time of diagnosis. Diagnostic considerations include endoscopy, imaging studies, and laboratory tests to rule out other gastrointestinal disorders. A thorough patient history and physical examination are essential for accurate diagnosis and management.
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
K28.7 specifically covers chronic gastrojejunal ulcers that do not present with hemorrhage or perforation. It is important to differentiate this from acute ulcers or those with complications, which would require different coding.
K28.7 should be used when the ulcer is confirmed to be chronic and located in the gastrojejunal area without any signs of bleeding or perforation. If the ulcer is acute or has complications, other codes should be selected.
Documentation should include a clear diagnosis of a chronic gastrojejunal ulcer, details of the patient's symptoms, any relevant imaging or endoscopic findings, and a treatment plan that reflects the chronic nature of the condition.
