2025 ICD-10-CM code K25.2
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of the digestive system - Gastric ulcer Chapter 10: Diseases of the digestive system Feed
Acute gastric ulcer with both hemorrhage and perforation.
Modifiers may apply depending on the circumstances of the encounter and procedures performed. Consult the current modifier guidelines.
Medical necessity is established by the presence of symptoms and findings consistent with an acute gastric ulcer with hemorrhage and perforation, requiring immediate medical intervention.The severity of symptoms often warrants emergent intervention.
Gastroenterology, General Surgery
In simple words: This code describes a serious stomach ulcer that is causing both bleeding and a hole in the stomach lining.This requires immediate medical attention.
This code classifies an acute gastric ulcer characterized by both bleeding (hemorrhage) and a hole in the stomach wall (perforation).It includes acute erosions of the stomach, peptic pylorus ulcers, and peptic stomach ulcers.It excludes acute gastritis (K29.0-), peptic ulcer not otherwise specified (K27.-).
Example 1: A 65-year-old male presents to the emergency room with severe epigastric pain, hematemesis, and hemodynamic instability. Endoscopy reveals a perforated acute gastric ulcer with active bleeding.K25.2 is assigned., A 40-year-old female with a history of NSAID use is admitted with melena and abdominal pain.Imaging shows a perforated gastric ulcer. After emergency surgery, K25.2 is coded., A 72-year-old male with a history of alcoholism presents with sudden onset of severe abdominal pain, hypotension, and tachycardia.Exploratory laparotomy confirms a perforated gastric ulcer with significant hemorrhage. K25.2 is used along with codes for alcohol abuse and the surgical procedure.
Complete history and physical exam, endoscopy report (if performed), radiology reports (x-rays, CT scans), operative report (if surgery performed), and laboratory results (hemoglobin, hematocrit).
** This code should only be used when both hemorrhage and perforation are present in an acute gastric ulcer.Careful documentation is crucial for accurate coding.
- Payment Status: Active
- Specialties:Gastroenterology, General Surgery
- Place of Service:Emergency Room - Hospital, Inpatient Hospital