2025 ICD-10-CM code K25.0
Acute gastric ulcer with hemorrhage.
Medical necessity for the diagnosis and treatment of an acute gastric ulcer with hemorrhage is established by the presence of signs and symptoms consistent with the condition, such as abdominal pain, gastrointestinal bleeding, and/or anemia. Confirmatory diagnostic testing, such as endoscopy, is generally required.
The physician is responsible for diagnosing the acute gastric ulcer with hemorrhage through appropriate examination, which may include endoscopy, and determining the appropriate treatment plan, which may include medication, lifestyle changes, and/or surgery.
- Diseases of the digestive system (K00-K95)
- K25 - Gastric ulcerK25.0 - Acute gastric ulcer with hemorrhageK25.1 - Acute gastric ulcer with perforationK25.2 - Acute gastric ulcer with both hemorrhage and perforationK25.3 - Acute gastric ulcer without hemorrhage or perforationK25.4 - Chronic or unspecified gastric ulcer with hemorrhageK25.5 - Chronic or unspecified gastric ulcer with perforationK25.6 - Chronic or unspecified gastric ulcer with both hemorrhage and perforationK25.7 - Chronic gastric ulcer without hemorrhage or perforationK25.9 - Unspecified gastric ulcer
In simple words: This code signifies an acute ulcer in the stomach accompanied by bleeding.
Acute gastric ulcer with hemorrhage.This includes acute erosions of the stomach and peptic ulcers of the stomach and pylorus.
Example 1: A patient presents with severe abdominal pain, hematemesis (vomiting blood), and melena (black, tarry stools). Upon endoscopic examination, an actively bleeding gastric ulcer is identified., A patient with a history of peptic ulcer disease experiences sudden onset of epigastric pain and dizziness. Laboratory tests reveal anemia, and subsequent endoscopy confirms an acute gastric ulcer with evidence of recent bleeding., A patient taking nonsteroidal anti-inflammatory drugs (NSAIDs) for chronic pain develops coffee-ground emesis.Endoscopy reveals an acute gastric ulcer with a visible vessel.
Documentation should include details of the patient's symptoms (e.g., abdominal pain, hematemesis, melena), findings on physical examination, laboratory results (e.g., complete blood count, coagulation studies), and endoscopic findings, including the location, size, and characteristics of the ulcer and the presence and extent of hemorrhage. Any relevant history, such as prior ulcer disease or NSAID use, should also be documented.
** Excludes1: acute gastritis (K29.0-) and peptic ulcer NOS (K27.-)Excludes2: certain conditions originating in the perinatal period (P04-P96), certain infectious and parasitic diseases (A00-B99), complications of pregnancy, childbirth and the puerperium (O00-O9A), congenital malformations, deformations and chromosomal abnormalities (Q00-Q99), endocrine, nutritional and metabolic diseases (E00-E88), injury, poisoning and certain other consequences of external causes (S00-T88), neoplasms (C00-D49), symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94), and hiatus hernia (K44.-)
- Payment Status: Active
- Specialties:Gastroenterology, Internal Medicine, General Surgery
- Place of Service:Inpatient Hospital, Emergency Room - Hospital,On Campus-Outpatient Hospital, Off Campus-Outpatient Hospital