2025 ICD-10-CM code K26.0
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of the digestive system - Duodenal ulcer Chapter 11: Diseases of the digestive system Feed
Acute duodenal ulcer with hemorrhage.
Modifiers may apply depending on the circumstances and services rendered. Review the appropriate modifier guidelines for specific applications.For instance, modifiers may be used to identify the location of service or the type of procedure performed.
Medical necessity for K26.0 is established by the presence of an acute duodenal ulcer and the occurrence of hemorrhage requiring medical intervention.The severity of the hemorrhage and the need for treatment such as blood transfusions, medication or procedures (endoscopy) will support medical necessity.
Diagnosis and management of the acute duodenal ulcer and its associated hemorrhage, including stabilization of the patient, potential endoscopy to identify the source of bleeding, and treatment to control bleeding, such as medication or surgery.
- Chapter 11: Diseases of the digestive system
- Diseases of the digestive system > Diseases of esophagus, stomach and duodenum > Duodenal ulcer
In simple words: This code means a person has a sudden and serious bleeding ulcer in their duodenum (the first part of their small intestine).
This code signifies an acute duodenal ulcer complicated by hemorrhage.It refers to a peptic ulcer in the duodenum characterized by a sudden onset and the presence of bleeding.The hemorrhage may manifest as hematemesis (vomiting blood), melena (dark, tarry stools), or hematochezia (bright red blood in the stool).
Example 1: A 55-year-old male presents to the emergency room with severe epigastric pain, hematemesis, and hypotension.Endoscopy reveals a bleeding duodenal ulcer.The patient is admitted, receives intravenous fluids and blood transfusions, and undergoes endoscopic hemostasis. K26.0 is assigned., A 40-year-old female is admitted for an elective upper endoscopy.During the procedure, a small, actively bleeding duodenal ulcer is found and treated endoscopically with injection therapy.K26.0 is assigned., A 70-year-old male with a history of peptic ulcer disease presents with melena and anemia.After undergoing an endoscopy, a chronic duodenal ulcer with active bleeding is diagnosed.He receives blood transfusions and medication to control bleeding. K26.0 is used because the acute hemorrhage is the primary focus.
Complete history and physical examination, including details of presenting symptoms (e.g., epigastric pain, hematemesis, melena), vital signs, laboratory results (e.g., complete blood count, blood type and crossmatch), and endoscopic findings (if applicable).Documentation should include details of any treatment provided to control the bleeding.
** Always cross-reference with other relevant ICD-10-CM codes to fully capture the patient's clinical picture. For instance, codes for anemia or other complications might be necessary.Use of this code should be supported by proper documentation.
- Payment Status: Active
- Modifier TC rule: Not applicable to ICD-10 codes
- Specialties:Gastroenterology, Internal Medicine, Surgery
- Place of Service:Inpatient Hospital, Emergency Room - Hospital, Office, Ambulatory Surgical Center