2025 ICD-10-CM code K26.7
(Active) Effective Date: N/A Revision Date: N/A Diseases of the digestive system - Diseases of esophagus, stomach and duodenum Diseases of the digestive system Feed
Chronic duodenal ulcer without hemorrhage or perforation.
Medical necessity is established by the presence of documented symptoms consistent with a chronic duodenal ulcer, confirmed by endoscopic or imaging findings.The absence of hemorrhage and perforation is important for accurate coding.Treatment is medically necessary to alleviate symptoms and prevent complications.
Gastroenterologist or general surgeon
In simple words: A long-lasting duodenal ulcer (sore) in the small intestine that hasn't caused bleeding or a hole.
Chronic duodenal ulcer without hemorrhage or perforation. This ICD-10-CM code encompasses chronic peptic ulcers located in the duodenum, excluding those complicated by bleeding or perforation.It includes conditions such as erosion of the duodenum and postpyloric ulcers.It excludes peptic ulcers not otherwise specified (K27.-).
Example 1: A 55-year-old male patient presents with chronic epigastric pain, nausea, and vomiting. Endoscopy reveals a chronic duodenal ulcer without evidence of bleeding or perforation.The patient has a history of NSAID use., A 40-year-old female patient with a history of Helicobacter pylori infection presents with intermittent epigastric pain. Upper endoscopy confirms a chronic duodenal ulcer without active bleeding or perforation.The patient is treated with antibiotics and acid-reducing medication., A 60-year-old male patient with a history of alcohol abuse and smoking reports recurrent abdominal pain radiating to the back.Imaging studies reveal a chronic duodenal ulcer without signs of hemorrhage or perforation.
* Detailed patient history including symptoms (epigastric pain, nausea, vomiting, dyspepsia) and duration.* Complete physical examination findings, focusing on the abdomen.* Results of relevant investigations (e.g., endoscopy, biopsy, H. pylori testing, imaging studies).* Treatment plan and response to therapy.
** This code is used for chronic duodenal ulcers that are not actively bleeding or perforated.If the ulcer is complicated by bleeding or perforation, different ICD-10-CM codes would be required.
- Payment Status: Active
- Specialties:Gastroenterology, General Surgery
- Place of Service:Office, Hospital Inpatient, Hospital Outpatient