2025 ICD-10-CM code K28
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of esophagus, stomach and duodenum - Gastrojejunal ulcer Diseases of the digestive system Feed
Gastrojejunal ulcer; includes anastomotic, gastrocolic, gastrointestinal, jejunal, marginal, and stomal ulcers.
Modifiers may be applicable depending on the circumstances of service, such as the place of service or the type of service. Consult modifier guidelines for appropriate usage.
Medical necessity is established through documentation of symptoms, physical examination, and diagnostic testing confirming the presence of a gastrojejunal ulcer and indicating the need for medical or surgical intervention.
Gastroenterologist or surgeon, depending on the context (e.g., diagnosis versus surgical management).
In simple words: This code refers to a type of stomach ulcer that develops where the stomach is surgically connected to the small intestine.It can also include ulcers at other sites resulting from such surgeries.
K28 encompasses gastrojejunal ulcers, which are peptic ulcers occurring at the gastrojejunal anastomosis (surgical connection between the stomach and jejunum).This includes anastomotic, gastrocolic, gastrointestinal, jejunal, marginal, and stomal ulcers.Additional codes should be used to specify complications such as hemorrhage or perforation, and associated conditions like alcohol abuse.
Example 1: A patient presents with upper abdominal pain, nausea, and vomiting following gastric bypass surgery.Endoscopy reveals an ulcer at the gastrojejunal anastomosis. Code K28 is assigned., A patient with a history of alcohol abuse is admitted with severe upper gastrointestinal bleeding.Angiography confirms bleeding from a gastrojejunal ulcer.Codes K28.0 (acute gastrojejunal ulcer with hemorrhage) and F10.2 (alcohol dependence syndrome) are used., A patient undergoes a Billroth II gastrectomy. Several weeks later, they experience intense abdominal pain and are found to have a perforated gastrojejunal ulcer. Codes K28.1 (acute gastrojejunal ulcer with perforation) and the appropriate procedural codes are applied.
Detailed history including symptoms (abdominal pain, nausea, vomiting, bleeding), relevant prior surgeries (gastric bypass, gastrectomy), alcohol use, medications, physical examination findings (abdominal tenderness, guarding), endoscopic findings (ulcer location, size, bleeding), and radiologic findings (perforation, bleeding).
** K28 can be used for both acute and chronic ulcers.Always specify the presence of hemorrhage or perforation using the appropriate subcodes (K28.0-K28.6).
- Payment Status: Active
- Modifier TC rule: Technical component (TC) modifiers are not typically applicable to this diagnosis code.
- Specialties:Gastroenterology, Surgery
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office