2025 ICD-10-CM code K27
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of esophagus, stomach and duodenum - Peptic ulcer, site unspecified Diseases of the digestive system (K00-K95) Feed
Peptic ulcer of unspecified location in the stomach or duodenum.
Medical necessity is established through the presence of symptoms consistent with a peptic ulcer, confirmed by appropriate diagnostic procedures (e.g., endoscopy) demonstrating ulceration. Treatment is deemed medically necessary based on symptom severity, potential complications, and the need to prevent recurrence.
Diagnosis and management of peptic ulcers, including investigations (e.g., endoscopy), treatment (e.g., medication, surgery), and monitoring of complications.May involve collaboration with other specialists.
In simple words: This code means a sore in the stomach or the beginning of the small intestine (duodenum), but the exact location isn't known.
K27, Peptic ulcer, site unspecified, encompasses ulcers affecting the stomach or duodenum without specifying the exact location.This code includes gastroduodenal ulcers where the site is not specified.Additional codes may be necessary to specify associated conditions like alcohol abuse (F10.-) or to differentiate from peptic ulcers of newborns (P78.82).
Example 1: A 55-year-old male presents with epigastric pain, nausea, and vomiting.Upper endoscopy reveals a peptic ulcer of unspecified location.K27 is used for billing purposes., A 40-year-old female with a history of NSAID use reports recurrent abdominal pain.Endoscopy reveals a peptic ulcer; however, the precise location cannot be determined. K27 is coded., A 60-year-old male with a history of alcohol abuse and persistent dyspepsia is diagnosed with a peptic ulcer. The exact location is not specified by endoscopy; therefore, K27 is used along with an additional code for alcohol abuse (F10.-).
Complete medical history, physical examination findings, documentation of symptoms (e.g., epigastric pain, dyspepsia, nausea, vomiting, melena), endoscopy report specifying the presence of a peptic ulcer and any associated complications (e.g., bleeding, perforation), and relevant laboratory results (e.g., H. pylori testing).
** K27 is a general code for peptic ulcers where the specific location is unknown.Further sub-classification (e.g., K27.0-K27.7) should be used if more precise details are available from the clinical findings.
- Payment Status: Active
- Specialties:Gastroenterology
- Place of Service:Office, Hospital (Inpatient or Outpatient), Ambulatory Surgical Center