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2025 ICD-10-CM code K27.6

Chronic or unspecified peptic ulcer, at an unspecified site, with both hemorrhage and perforation.

Adhere to the official ICD-10-CM coding guidelines provided by CMS and other relevant authorities to ensure proper code selection and avoid inaccuracies.Pay close attention to the specific criteria defining acute versus chronic peptic ulcers and the presence or absence of hemorrhage and perforation.

Modifiers may be applicable depending on the circumstances of the encounter, such as the location of service or the type of procedure performed.Consult the appropriate modifier guidelines for specific usage.

Medical necessity for diagnosis and treatment is established by the presence of symptoms suggestive of a perforated peptic ulcer with hemorrhage and other associated complications such as severe pain, shock, and significant blood loss.Treatment aims to stabilize the patient's condition, control the bleeding, repair any perforation, and prevent further complications.

The clinical responsibility involves the diagnosis and management of the peptic ulcer, including assessment of the severity of hemorrhage and perforation, treatment of bleeding, surgical intervention if necessary (for perforation), and management of associated complications such as infection or shock.Pain management and monitoring of the patient's overall condition are also important aspects of care. Post-operative care, if surgical intervention is required, will also fall under the physician's responsibility.The attending physician will need to coordinate with other medical professionals (surgeons, nurses, etc.) during treatment and post treatment.

IMPORTANT:Related codes include other specifications of peptic ulcers with hemorrhage, perforation, or both (e.g., K27.0-K27.5, K27.7, K27.9), depending on the specific clinical presentation.

In simple words: This code describes a long-lasting or a peptic ulcer of unknown location in the digestive system that has caused bleeding and a hole in the stomach lining.

This code signifies a chronic or unspecified peptic ulcer whose precise location within the digestive system is unknown.The condition is characterized by both bleeding (hemorrhage) and a rupture or hole (perforation) in the ulcer.The ulcer may be either chronic (long-standing) or its duration may be unspecified.

Example 1: A 60-year-old male patient presents with severe epigastric pain, hematemesis, and hemodynamic instability.Endoscopy reveals a perforated duodenal ulcer with active bleeding. This scenario indicates K27.6 due to the presence of both hemorrhage and perforation., A 45-year-old female patient with a history of NSAID use experiences sudden onset of severe abdominal pain and signs of hypovolemic shock.Imaging reveals a perforated gastric ulcer and active bleeding. Treatment includes fluid resuscitation, blood transfusion, and emergency surgery to repair the perforation. K27.6 applies here due to hemorrhage and perforation., A 72-year-old patient with a known history of peptic ulcer disease is admitted to the hospital with melena and increasing abdominal pain.Upper endoscopy shows a chronic gastric ulcer with hemorrhage and perforation, requiring emergency surgery. Because both hemorrhage and perforation are confirmed, K27.6 is the applicable code.

Complete medical history including any risk factors for peptic ulcer (NSAID use, H. pylori infection, smoking, alcohol consumption, etc.).Detailed description of symptoms (abdominal pain, nausea, vomiting, melena, hematemesis), physical examination findings, results of diagnostic tests (endoscopy, imaging studies, laboratory tests to assess blood loss, electrolyte imbalances), and documentation of treatment (fluid resuscitation, blood transfusion, surgery, medications), along with postoperative recovery notes (if applicable).

** The site of the ulcer is unspecified.Additional codes may be necessary to identify contributing factors such as alcohol abuse or H. pylori infection.

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