2025 ICD-10-CM code K27.7
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of esophagus, stomach and duodenum - Peptic ulcer, site unspecified Diseases of the digestive system (K00-K95) Feed
Chronic peptic ulcer, site unspecified, without hemorrhage or perforation.
Medical necessity is established by the presence of symptoms consistent with peptic ulcer disease, confirmed through appropriate diagnostic testing, and the need for medical or surgical management to alleviate symptoms and prevent complications.
Diagnosis and management of peptic ulcer disease, including assessment of symptoms, ordering diagnostic tests (e.g., endoscopy, H. pylori testing), prescribing medications (e.g., proton pump inhibitors, antibiotics), and monitoring treatment response.Surgical consultation may be necessary for complicated cases.
In simple words: A chronic peptic ulcer is a long-lasting sore in the stomach or intestines that hasn't bled or broken through the wall.
This code represents a chronic peptic ulcer of unspecified location in the gastrointestinal tract, without evidence of hemorrhage (bleeding) or perforation (hole).Peptic ulcers are lesions that result from the breakdown of the mucosal lining of the gastrointestinal tract, commonly caused by Helicobacter pylori infection or nonsteroidal anti-inflammatory drug (NSAID) use.The chronicity indicates the ulcer has persisted for an extended duration.
Example 1: A 55-year-old male presents with chronic epigastric pain, relieved by antacids. Endoscopy reveals a chronic duodenal ulcer without bleeding or perforation., A 60-year-old female with a history of NSAID use reports persistent abdominal discomfort.Upper endoscopy confirms a chronic gastric ulcer, uncomplicated by hemorrhage or perforation., A 40-year-old patient with a history of H. pylori infection presents with intermittent epigastric pain.Endoscopy shows a chronic peptic ulcer with no signs of acute bleeding or perforation; H. pylori testing is positive.
Complete history and physical examination, including documentation of symptoms (e.g., pain location, character, timing, relieving factors), medication history (including NSAIDs), and relevant laboratory tests (e.g., complete blood count, H. pylori testing).Endoscopic findings with detailed description of the ulcer's location, size, and features (e.g., presence of bleeding, perforation).
** This code should not be used for peptic ulcers in newborns (P78.82).
- Payment Status: Active
- Specialties:Gastroenterology, Internal Medicine, Surgery
- Place of Service:Office, Hospital Inpatient, Hospital Outpatient, Ambulatory Surgical Center