2025 ICD-10-CM code K25.3
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of the digestive system - Gastric ulcer Diseases of the digestive system Feed
Acute gastric ulcer without hemorrhage or perforation.
Modifiers may be applicable depending on the context of the clinical encounter and the specific services provided.
Medical necessity is established by the presence of symptoms consistent with an acute gastric ulcer, confirmed through appropriate diagnostic testing (e.g., endoscopy).The severity of symptoms and response to initial treatment may influence the decision for further evaluation or intervention.
Gastroenterology, General Surgery
In simple words: This code describes a sudden, painful sore in the stomach lining that hasn't bled or caused a hole. It's often linked to a bacterial infection (H. pylori) or taking certain pain relievers.
This code signifies an acute gastric ulcer, a circumscribed, inflammatory, and necrotic erosive lesion on the stomach's mucosal surface, without any accompanying hemorrhage (bleeding) or perforation (hole).The ulcer may involve deeper gastric wall layers. This condition often relates to Helicobacter pylori infection or NSAID use.
Example 1: A 45-year-old patient presents with epigastric pain, nausea, and vomiting. Endoscopy reveals an acute gastric ulcer without bleeding or perforation.The patient has a history of NSAID use., A 60-year-old patient with a known H. pylori infection experiences sudden onset of severe abdominal pain.Endoscopy confirms an acute gastric ulcer, which is not bleeding or perforated. Treatment includes antibiotics and acid-reducing medication., A 28-year-old patient, after a stressful period, develops persistent epigastric discomfort. Upper endoscopy shows a small, acute gastric ulcer without evidence of hemorrhage or perforation. The patient is treated conservatively with lifestyle changes and proton pump inhibitors.
Complete history and physical examination, including details of symptoms (onset, duration, character, location, severity, associated symptoms), medication history (including NSAIDs), and relevant past medical history.Endoscopy report with images and pathology findings (if applicable) and evidence of medical necessity for testing.
** Differentiation between acute and chronic gastric ulcers is crucial for accurate coding and clinical management.Careful review of clinical documentation and imaging reports is essential to ensure correct code assignment.
- Payment Status: Active
- Specialties:Gastroenterology, General Surgery
- Place of Service:Office, Hospital (Inpatient or Outpatient), Ambulatory Surgical Center