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2025 ICD-10-CM code K26.9

Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation.

Medical necessity is established by the presence of signs, symptoms, or diagnostic findings consistent with a duodenal ulcer. Further investigation to rule out complications is typically required.

In simple words: This code indicates an ulcer in the duodenum (the first part of the small intestine) that is not specified as being new (acute) or long-standing (chronic), and it doesn't involve bleeding or a hole (perforation) in the duodenum.

Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation. This code specifies a duodenal ulcer that is not clearly identified as acute or chronic and does not involve bleeding or perforation.

Example 1: A patient presents with abdominal pain, and an endoscopy reveals a duodenal ulcer. It is not clear from the clinical presentation whether the ulcer is acute or chronic, and there are no signs of hemorrhage or perforation., A patient with a history of dyspepsia undergoes an upper gastrointestinal series that shows a duodenal ulcer. The radiologist cannot determine whether the ulcer is acute or chronic, and there is no evidence of hemorrhage or perforation., A patient reports a burning sensation in their upper abdomen. After a physical exam and review of their medical history, a physician suspects a duodenal ulcer. The physician orders further testing to confirm the diagnosis and determine the acuteness, chronicity, and presence of complications.

Documentation should include details of the patient’s symptoms, relevant medical history, diagnostic findings from imaging studies or endoscopy, and absence of hemorrhage or perforation.

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