2025 ICD-10-CM code K27.3
(Active) Effective Date: N/A Revision Date: N/A Gastrointestinal diseases - Peptic ulcer Diseases of the digestive system Feed
Acute peptic ulcer, site unspecified, without hemorrhage or perforation.
Modifiers may be applicable depending on the circumstances of the service, such as the location of the service or the type of provider.Consult the current CPT and HCPCS modifier guidelines for specific usage.
Medical necessity for coding K27.3 is established by the presence of clinical symptoms suggestive of a peptic ulcer, supported by appropriate diagnostic testing to confirm the diagnosis and rule out other conditions.The severity of symptoms and the presence of potential complications will also dictate the need for medical intervention and influence the overall medical necessity of the procedure or treatment plan.
Diagnosis and management of the peptic ulcer. This includes obtaining a detailed history, performing a physical examination, ordering appropriate diagnostic tests (e.g., endoscopy, stool tests, blood tests), and initiating treatment (e.g., medication to reduce stomach acid, antibiotics if H. pylori is present).
In simple words: This code describes a sudden, open sore in the stomach or intestines that isn't bleeding or causing a hole.The exact location of the sore isn't specified.
This ICD-10-CM code classifies an acute peptic ulcer of unspecified location in the gastrointestinal tract, without evidence of bleeding (hemorrhage) or a hole in the ulcer wall (perforation).The diagnosis is based on clinical presentation, and further investigation might be needed to determine the precise location and cause of the ulcer.
Example 1: A 55-year-old male presents with epigastric pain, nausea, and vomiting.Endoscopy reveals a small, non-bleeding, non-perforated ulcer in the stomach.The patient is diagnosed with K27.3., A 30-year-old female with a history of NSAID use presents with persistent abdominal discomfort.Upper endoscopy shows an acute, non-bleeding, non-perforated duodenal ulcer. K27.3 is assigned, along with a code specifying the use of NSAIDs as a contributing factor., A 60-year-old male with known H. pylori infection experiences sudden onset of severe epigastric pain.While an endoscopy is scheduled, initial examination finds no signs of hemorrhage or perforation.The physician assigns K27.3 pending further investigation and treatment.
Detailed history of present illness, including symptom onset, character, location, and duration; complete physical examination noting relevant findings; results of diagnostic tests such as endoscopy (if performed), laboratory tests to assess for H. pylori infection and other contributing factors, and treatment plan including medication prescribed.
** This code should not be used if the ulcer is specified as gastric, duodenal, or at another specific location.In such cases, more specific codes should be applied.Always consult the latest official ICD-10-CM guidelines.
- Payment Status: Active
- Modifier TC rule: Not applicable for this ICD-10-CM code.
- Specialties:Gastroenterology
- Place of Service:Office, Hospital Inpatient, Hospital Outpatient, Emergency Room - Hospital