2025 ICD-10-CM code K25.6
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of esophagus, stomach and duodenum - Gastric ulcer Diseases of the digestive system (K00-K95) Feed
Chronic or unspecified gastric ulcer with both hemorrhage and perforation.
Not applicable to ICD-10 codes.
Medical necessity for treatment is established by the presence of significant symptoms (e.g., severe pain, bleeding), complications (e.g., perforation, anemia), and the need for intervention (e.g., medication, endoscopy, surgery) to stabilize the patient and prevent further complications.
The clinical responsibility for this diagnosis falls on the gastroenterologist or primary care physician.Management involves assessing the severity of bleeding and perforation,potential need for surgery, and managing associated complications like anemia and infection.
In simple words: This code describes a long-standing or unclear type of stomach ulcer that's bleeding and has a hole in it.
This code signifies a chronic or unspecified gastric ulcer characterized by both hemorrhage (bleeding) and perforation (a hole in the stomach wall).The ulcer is a circumscribed, inflammatory, and necrotic erosive lesion on the stomach's mucosal surface, potentially extending to deeper layers.It often arises from Helicobacter pylori infection or nonsteroidal anti-inflammatory drug (NSAID) use.
Example 1: A 60-year-old male patient presents with severe epigastric pain, hematemesis (vomiting blood), and melena (dark, tarry stools). Endoscopy reveals a perforated chronic gastric ulcer with active bleeding. K25.6 is coded., A 45-year-old female patient with a history of NSAID use is admitted with abdominal pain and hypotension. Imaging studies demonstrate a perforated gastric ulcer with evidence of hemorrhage.K25.6 is coded, and additional codes are used to reflect the hypotension and anemia., A 72-year-old patient undergoes emergency surgery for a perforated gastric ulcer. Intraoperative findings reveal significant bleeding from the ulcer site.K25.6 is coded, along with procedural codes that reflect the surgical intervention.
Detailed history, physical examination findings, endoscopic reports (if performed), imaging studies (e.g., abdominal X-ray, CT scan), laboratory results (e.g., complete blood count, blood type and cross-match if bleeding is significant), and operative reports (if surgery is performed) are essential for accurate coding.
** Always refer to the most recent version of the ICD-10-CM coding manual for the most up-to-date information and guidelines.
- Revenue Code: Revenue codes will vary depending on the specific services provided and the payer.Consult your payer's guidelines and local coding conventions for appropriate revenue codes.
- RVU: RVUs are not directly associated with ICD-10 codes.RVUs are determined by CPT codes and vary based on factors such as geographic location, facility type, and payer.
- Global Days: Not applicable to ICD-10 codes.
- Payment Status: Active
- Modifier TC rule: Not applicable to ICD-10 codes.
- Fee Schedule: Not applicable to ICD-10 codes.
- Specialties:Gastroenterology, general surgery
- Place of Service:Inpatient Hospital, Outpatient Hospital, Emergency Room - Hospital, Ambulatory Surgical Center