2025 ICD-10-CM code K27.5
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of the digestive system - Diseases of esophagus, stomach and duodenum (K20-K31) Diseases of the digestive system (K00-K95) Feed
Chronic or unspecified peptic ulcer, site unspecified, with perforation.
Medical necessity for coding K27.5 is established through the presence of clinical symptoms and diagnostic evidence of a perforated peptic ulcer. The severity of symptoms, potential for complications, and necessity for treatment justify coding.
The clinical responsibility for this code falls on the physician or healthcare professional diagnosing and managing the peptic ulcer. This includes ordering diagnostic tests, managing symptoms and complications (such as perforation), and potentially performing surgical interventions if necessary.
In simple words: This code describes a long-lasting or type of stomach ulcer that has a hole in it. The exact location of the ulcer isn't known.
This ICD-10-CM code classifies a chronic or unspecified peptic ulcer at an unspecified location, complicated by perforation.The diagnosis includes gastroduodenal ulcers and peptic ulcers where the specific site is unknown.It excludes peptic ulcers in newborns (P78.82). Additional codes may be used to specify alcohol abuse or dependence (F10.-).
Example 1: A 65-year-old male patient presents to the emergency department with severe epigastric pain, nausea, and vomiting.A CT scan reveals a perforated peptic ulcer.K27.5 is coded along with codes for the treatment received., A 40-year-old female patient has a history of peptic ulcer disease. During a routine endoscopy, a perforation is discovered. The site of the perforation is not specified. K27.5 is recorded., A 72-year-old patient with known peptic ulcer disease experiences sudden onset of severe abdominal pain and is found to have a perforated ulcer.Surgical repair is performed. The exact location cannot be determined pre-operatively, necessitating use of K27.5.
Detailed patient history, including symptoms, medication use (especially NSAIDs), and history of peptic ulcer disease.Imaging reports (e.g., upper GI series, CT scan) showing the perforation.Operative reports if surgery was performed.Pathology reports if tissue was obtained.
** This code is often used in conjunction with procedure codes for treatment of the perforation (e.g., surgery).
- Payment Status: Active
- Specialties:Gastroenterology, General Surgery
- Place of Service:Emergency Room - Hospital, Inpatient Hospital, Office