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2025 ICD-10-CM code K28.2

Acute gastrojejunal ulcer with both hemorrhage and perforation.

Code K28.2 should not be used if the ulcer is chronic or unspecified. Separate codes should be used to document any underlying conditions, such as alcohol abuse or dependence (F10.-).

Medical necessity for this code is established by the presence of a serious and acute condition requiring immediate medical intervention to address the life-threatening complications of hemorrhage and perforation.

Clinicians responsible for diagnosing and managing gastrointestinal conditions, such as gastroenterologists and general surgeons, utilize this code. Accurate documentation of both hemorrhage and perforation is crucial for appropriate code assignment.

In simple words: This code indicates a patient has a severe, newly developed ulcer in the part of their small intestine just past the stomach.This ulcer is bleeding and has created a hole in the intestinal wall.

This code signifies an acute ulcer located in the gastrojejunal region, specifically involving both bleeding (hemorrhage) and a full-thickness breach in the intestinal wall (perforation).

Example 1: A patient presents with sudden, severe abdominal pain, signs of shock, and bloody stools. Diagnostic imaging reveals an ulcer in the jejunum with evidence of both active bleeding and perforation., Following gastric bypass surgery, a patient experiences abdominal discomfort and anemia.Endoscopy reveals a gastrojejunal ulcer at the surgical site that is both bleeding and perforated., A patient with a history of chronic NSAID use develops sudden severe abdominal pain and hematemesis. Imaging shows a perforated gastrojejunal ulcer with signs of active bleeding.

Documentation must clearly indicate the acute nature of the ulcer, its location in the gastrojejunal region, and the presence of both hemorrhage and perforation.Supporting evidence can include imaging studies (e.g., CT scan, endoscopy), laboratory findings (e.g., decreased hemoglobin), and clinical presentation (e.g., abdominal pain, signs of shock).

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