2025 ICD-10-CM code K28.0
Acute gastrojejunal ulcer with hemorrhage.
Medical necessity for services related to K28.0 is established by the presence of active bleeding from an acute gastrojejunal ulcer.This condition often requires urgent intervention to control bleeding and prevent complications like hypovolemic shock.
Clinicians responsible for diagnosing and managing K28.0 include gastroenterologists, general surgeons, and primary care physicians. They are responsible for ordering appropriate diagnostic tests (such as endoscopy), initiating treatment to stop the bleeding (e.g., endoscopic hemostasis, medications), and managing complications.
In simple words: This code indicates a patient has a new ulcer in the area where the stomach joins the small intestine, and this ulcer is actively bleeding.
This code describes an acute ulcer located in the gastrojejunal region, which is the connection between the stomach and the jejunum (part of the small intestine), and is characterized by bleeding.
Example 1: A patient presents with severe abdominal pain and hematemesis (vomiting blood). An endoscopy reveals an actively bleeding ulcer at the gastrojejunal junction. The diagnosis is acute gastrojejunal ulcer with hemorrhage (K28.0)., A patient with a history of peptic ulcer disease develops melena (black, tarry stools). After evaluation, an acute gastrojejunal ulcer with hemorrhage is diagnosed (K28.0)., A postoperative patient experiences abdominal discomfort and anemia. Diagnostic imaging and endoscopy identify an acute gastrojejunal ulcer at the site of a previous surgical anastomosis, actively bleeding. This condition is coded as K28.0.
Documentation should include details of the patient's symptoms (e.g., abdominal pain, hematemesis, melena, signs of anemia), diagnostic findings from endoscopy or imaging studies confirming the presence, location, and active bleeding of the ulcer, and any associated complications.
- Payment Status: Active
- Specialties:Gastroenterology, General Surgery, Internal Medicine
- Place of Service:Inpatient Hospital, Emergency Room - Hospital, Outpatient Hospital, Office