2025 ICD-10-CM code K27.2
Acute peptic ulcer of the stomach or duodenum with both hemorrhage (bleeding) and perforation (a hole or tear).
Medical necessity for the diagnosis and treatment of K27.2 is established by the presence of both hemorrhage and perforation complications. This signifies a severe and potentially life-threatening condition requiring urgent medical attention.Further investigation into underlying cause (like H. pylori infection) and preventive measures should be justified.
Clinicians responsible for diagnosing and managing this condition include gastroenterologists, general surgeons, and primary care physicians.Responsibilities encompass identifying the underlying causes, addressing bleeding and perforation complications, and prescribing appropriate medications to prevent recurrence. Surgical intervention might be necessary in severe cases.
In simple words: This code signifies a new ulcer in either the stomach or the first part of the small intestine, associated with both bleeding and a rupture through the organ's wall.
Acute peptic ulcer, site unspecified, with both hemorrhage and perforation. This code indicates a sudden ulcer in an unspecified location in the stomach or duodenum, characterized by both bleeding and a tear in the lining of the affected organ.
Example 1: A patient presents with sudden, severe abdominal pain, bloody vomit, and signs of shock. Diagnostic imaging reveals a perforated peptic ulcer in the duodenum. The patient undergoes emergency surgery to repair the perforation., A patient with a history of peptic ulcers experiences severe abdominal discomfort and dark, tarry stools.Blood tests reveal anemia, and endoscopy confirms a bleeding ulcer in the stomach. Medications are given to stop the bleeding and promote healing., A patient taking NSAIDs for arthritis complains of worsening stomach pain and black stools. A peptic ulcer is diagnosed with signs of hemorrhage.The NSAIDs are discontinued, and the patient receives medication to treat the ulcer and manage the bleeding.
Documentation should include location and characteristics of the ulcer (size, depth), presence of hemorrhage (amount of blood loss) and perforation (size and location of the tear). Details of the treatment provided (medical or surgical) and patient response to treatment should be documented.
- Specialties:Gastroenterology, General Surgery, Internal Medicine, Family Medicine
- Place of Service:Inpatient Hospital, Emergency Room - Hospital, Office