2025 ICD-10-CM code K25.9
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of the digestive system - Gastric ulcer Diseases of the digestive system Feed
Gastric ulcer, unspecified as acute or chronic, without hemorrhage or perforation.
Medical necessity is established based on the presence of symptoms (e.g., abdominal pain, nausea, vomiting, weight loss) and the confirmation of a gastric ulcer through appropriate diagnostic testing.Treatment decisions are guided by the severity of symptoms, presence of complications, and patient-specific factors.
Diagnosis and management of gastric ulcer. This may involve endoscopy, medication management (e.g., proton pump inhibitors, H2 blockers), lifestyle modifications, and monitoring for complications.
In simple words: This code is for a stomach ulcer where it's not known if it's new or long-standing, and there's no bleeding or hole in the stomach.
This ICD-10-CM code represents a gastric ulcer where the acuteness or chronicity is undetermined, and there is no evidence of bleeding (hemorrhage) or a hole in the stomach wall (perforation).It includes conditions such as erosion (acute) of the stomach, pylorus ulcer (peptic), and stomach ulcer (peptic).Additional codes may be necessary to specify alcohol abuse or dependence.
Example 1: A 55-year-old male presents with epigastric pain and nausea. Endoscopy reveals a chronic gastric ulcer without hemorrhage or perforation., A 30-year-old female with a history of NSAID use reports intermittent stomach pain.Upper GI endoscopy shows a small, acute gastric erosion., A 70-year-old male with a history of alcohol abuse is admitted with severe epigastric pain. Imaging confirms a perforated gastric ulcer requiring surgical intervention.
Patient history, physical examination findings, endoscopic findings (if applicable), and imaging studies (if applicable) are required.Documentation of medical necessity for any treatment rendered should be included.
** The unspecified nature of this code necessitates thorough documentation to support the diagnosis and justify any treatment provided.Consideration should be given to the potential for comorbid conditions and their appropriate coding.
- Payment Status: Active
- Specialties:Gastroenterology, Internal Medicine, Surgery
- Place of Service:Office, Hospital Inpatient, Hospital Outpatient, Emergency Room - Hospital