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2025 ICD-10-CM code K25

Gastric ulcer. Includes erosion (acute) of stomach, pylorus ulcer (peptic), and stomach ulcer (peptic).

Use additional codes to specify the presence of hemorrhage (K25.4), perforation (K25.5), or obstruction (K25.6). Also, code any underlying causes, such as alcohol abuse (F10.-).

Medical necessity for treatment depends on symptom severity, presence of complications, and response to initial therapies.Documentation should support the chosen treatment approach.

Clinicians diagnosing and treating gastric ulcers, including gastroenterologists, primary care physicians, and surgeons, are responsible for accurately documenting the diagnosis, location, severity (acute vs. chronic, presence of hemorrhage or perforation), and any associated conditions like alcohol abuse.

In simple words: A gastric ulcer is a sore in the lining of the stomach. This includes erosions (acute) of the stomach, peptic ulcers in the pylorus (the opening from the stomach to the small intestine), and peptic ulcers in other parts of the stomach.It’s important to note that this code doesn't include acute gastritis or a peptic ulcer that isn't specified by location.

Gastric ulcer. Includes erosion (acute) of stomach, pylorus ulcer (peptic), and stomach ulcer (peptic). Use additional code to identify alcohol abuse and dependence (F10.-). Excludes1: acute gastritis (K29.0-) and peptic ulcer NOS (K27.-)

Example 1: A patient presents with burning epigastric pain, nausea, and vomiting. Endoscopy reveals an acute erosion in the stomach lining, consistent with a gastric ulcer., A patient with a history of chronic alcohol use presents with hematemesis (vomiting blood). Imaging reveals a chronic gastric ulcer with active bleeding., A patient experiences sudden, severe abdominal pain.A perforated gastric ulcer is diagnosed during emergency surgery.

Documentation should include the type of ulcer (acute/chronic), location, presence or absence of hemorrhage and perforation, and any relevant comorbidities.

** Excludes2: certain conditions originating in the perinatal period (P04-P96), certain infectious and parasitic diseases (A00-B99), complications of pregnancy, childbirth, and the puerperium (O00-O9A), congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99), endocrine, nutritional, and metabolic diseases (E00-E88), injury, poisoning, and certain other consequences of external causes (S00-T88), neoplasms (C00-D49), symptoms, signs, and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94).

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