2023 ICD-10-CM Diagnosis Code K26

Duodenal ulcer

    2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
  • K26 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2023 edition of ICD-10-CM K26 became effective on October 1, 2022.
  • This is the American ICD-10-CM version of K26 - other international versions of ICD-10 K26 may differ.
Use Additional
Use Additional Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • code to identify:
  • alcohol abuse and dependence (
    ICD-10-CM Diagnosis Code F10
    • F10 Alcohol related disorders
      • F10.1 Alcohol abuse
        • F10.10 …… uncomplicated
        • F10.11 …… in remission
        • F10.12 Alcohol abuse with intoxication
          • F10.120 Alcohol abuse with intoxication, uncomplicate...
          • F10.121 …… delirium
          • F10.129 …… unspecified
        • F10.13 Alcohol abuse, with withdrawal
          • F10.130 Alcohol abuse with withdrawal, uncomplicated
          • F10.131 Alcohol abuse with withdrawal delirium
          • F10.132 Alcohol abuse with withdrawal with perceptual...
          • F10.139 Alcohol abuse with withdrawal, unspecified
        • F10.14 Alcohol abuse with alcohol-induced mood disor...
        • F10.15 Alcohol abuse with alcohol-induced psychotic ...
          • F10.150 Alcohol abuse with alcohol-induced psychotic ...
          • F10.151 Alcohol abuse with alcohol-induced psychotic ...
          • F10.159 Alcohol abuse with alcohol-induced psychotic ...
        • F10.18 Alcohol abuse with other alcohol-induced diso...
          • F10.180 Alcohol abuse with alcohol-induced anxiety di...
          • F10.181 Alcohol abuse with alcohol-induced sexual dys...
          • F10.182 Alcohol abuse with alcohol-induced sleep diso...
          • F10.188 Alcohol abuse with other alcohol-induced diso...
        • F10.19 Alcohol abuse with unspecified alcohol-induce...
      • F10.2 Alcohol dependence
        • F10.20 …… uncomplicated
        • F10.21 …… in remission
        • F10.22 Alcohol dependence with intoxication
          • F10.220 Alcohol dependence with intoxication, uncompl...
          • F10.221 Alcohol dependence with intoxication delirium...
          • F10.229 Alcohol dependence with intoxication, unspeci...
        • F10.23 Alcohol dependence with withdrawal
          • F10.230 Alcohol dependence with withdrawal, uncomplic...
          • F10.231 …… delirium
          • F10.232 Alcohol dependence with withdrawal with perce...
          • F10.239 Alcohol dependence with withdrawal, unspecifi...
        • F10.24 Alcohol dependence with alcohol-induced mood ...
        • F10.25 Alcohol dependence with alcohol-induced psych...
          • F10.250 Alcohol dependence with alcohol-induced psych...
          • F10.251 Alcohol dependence with alcohol-induced psych...
          • F10.259 Alcohol dependence with alcohol-induced psych...
        • F10.26 Alcohol dependence with alcohol-induced persi...
        • F10.27 Alcohol dependence with alcohol-induced persi...
        • F10.28 Alcohol dependence with other alcohol-induced...
          • F10.280 Alcohol dependence with alcohol-induced anxie...
          • F10.281 Alcohol dependence with alcohol-induced sexua...
          • F10.282 Alcohol dependence with alcohol-induced sleep...
          • F10.288 Alcohol dependence with other alcohol-induced...
        • F10.29 Alcohol dependence with unspecified alcohol-i...
      • F10.9 Alcohol use, unspecified
        • F10.90 …… uncomplicated
        • F10.91 …… in remission
        • F10.92 Alcohol use, unspecified with intoxication
          • F10.920 Alcohol use, unspecified with intoxication, u...
          • F10.921 Alcohol use, unspecified with intoxication de...
          • F10.929 Alcohol use, unspecified with intoxication, u...
        • F10.93 Alcohol use, unspecified with withdrawal
          • F10.930 Alcohol use, unspecified with withdrawal, unc...
          • F10.931 Alcohol use, unspecified with withdrawal deli...
          • F10.932 Alcohol use, unspecified with withdrawal with...
          • F10.939 Alcohol use, unspecified with withdrawal, uns...
        • F10.94 Alcohol use, unspecified with alcohol-induced...
        • F10.95 Alcohol use, unspecified with alcohol-induced...
          • F10.950 Alcohol use, unspecified with alcohol-induced...
          • F10.951 Alcohol use, unspecified with alcohol-induced...
          • F10.959 Alcohol use, unspecified with alcohol-induced...
        • F10.96 Alcohol use, unspecified with alcohol-induced...
        • F10.97 Alcohol use, unspecified with alcohol-induced...
        • F10.98 Alcohol use, unspecified with other alcohol-i...
          • F10.980 Alcohol use, unspecified with alcohol-induced...
          • F10.981 Alcohol use, unspecified with alcohol-induced...
          • F10.982 Alcohol use, unspecified with alcohol-induced...
          • F10.988 Alcohol use, unspecified with other alcohol-i...
        • F10.99 Alcohol use, unspecified with unspecified alc...
    F10.-
    )
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as K26. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • peptic ulcer NOS (
    ICD-10-CM Diagnosis Code K27
    • K27 Peptic ulcer, site unspecified
      • K27.0 Acute peptic ulcer, site unspecified, with he...
      • K27.1 Acute peptic ulcer, site unspecified, with pe...
      • K27.2 Acute peptic ulcer, site unspecified, with bo...
      • K27.3 Acute peptic ulcer, site unspecified, without...
      • K27.4 Chronic or unspecified peptic ulcer, site uns...
      • K27.5 Chronic or unspecified peptic ulcer, site uns...
      • K27.6 Chronic or unspecified peptic ulcer, site uns...
      • K27.7 Chronic peptic ulcer, site unspecified, witho...
      • K27.9 Peptic ulcer, site unspecified, unspecified a...
    K27.-
    )
Includes
Includes Help
"Includes" further defines, or give examples of, the content of the code or category.
  • erosion (acute) of duodenum
  • duodenum ulcer (peptic)
  • postpyloric ulcer (peptic)
The following code(s) above K26 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to K26:
  • K00-K95
    2023 ICD-10-CM Range K00-K95

    Diseases of the digestive system

    Type 2 Excludes
    • certain conditions originating in the perinatal period (P04-P96)
    • certain infectious and parasitic diseases (A00-B99)
    • complications of pregnancy, childbirth and the puerperium (O00-O9A)
    • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
    • endocrine, nutritional and metabolic diseases (E00-E88)
    • injury, poisoning and certain other consequences of external causes (S00-T88)
    • neoplasms (C00-D49)
    • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
    Diseases of the digestive system
  • K20-K31
    2023 ICD-10-CM Range K20-K31

    Diseases of esophagus, stomach and duodenum

    Type 2 Excludes
    Diseases of esophagus, stomach and duodenum
Clinical Information
  • A disorder characterized by a circumscribed, inflammatory and necrotic erosive lesion on the mucosal surface of the duodenal wall.
  • A peptic ulcer located in the duodenum.
  • An ulcer in the duodenal wall.
  • Peptic ulcer located in the duodenum, the shortest and widest portion of the small intestine adjacent to the pylorus of the stomach.
Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
  • 2022 (effective 10/1/2021): No change
  • 2023 (effective 10/1/2022): No change
Code annotations containing back-references to K26:
  • Type 1 Excludes: K63.3
    , K63.1
    ICD-10-CM Diagnosis Code K63.3

    Ulcer of intestine

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    Applicable To
    • Primary ulcer of small intestine
    Type 1 Excludes
    • duodenal ulcer (K26.-)
    • gastrointestinal ulcer (K28.-)
    • gastrojejunal ulcer (K28.-)
    • jejunal ulcer (K28.-)
    • peptic ulcer, site unspecified (K27.-)
    • ulcer of intestine with perforation (K63.1)
    • ulcer of anus or rectum (K62.6)
    • ulcerative colitis (K51.-)
    ICD-10-CM Diagnosis Code K63.1

    Perforation of intestine (nontraumatic)

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    Applicable To
    • Perforation (nontraumatic) of rectum
    Type 1 Excludes
    • perforation (nontraumatic) of duodenum (K26.-)
    • perforation (nontraumatic) of intestine with diverticular disease (K57.0, K57.2, K57.4, K57.8)
    Type 2 Excludes
ICD-10-CM Codes Adjacent To K26
K25 Gastric ulcer
K25.0 Acute gastric ulcer with hemorrhage
K25.1 Acute gastric ulcer with perforation
K25.2 Acute gastric ulcer with both hemorrhage and perforation
K25.3 Acute gastric ulcer without hemorrhage or perforation
K25.4 Chronic or unspecified gastric ulcer with hemorrhage
K25.5 Chronic or unspecified gastric ulcer with perforation
K25.6 Chronic or unspecified gastric ulcer with both hemorrhage and perforation
K25.7 Chronic gastric ulcer without hemorrhage or perforation
K25.9 Gastric ulcer, unspecified as acute or chronic, without hemorrhage or perforation
K26 Duodenal ulcer
K26.0 Acute duodenal ulcer with hemorrhage
K26.1 Acute duodenal ulcer with perforation
K26.2 Acute duodenal ulcer with both hemorrhage and perforation
K26.3 Acute duodenal ulcer without hemorrhage or perforation
K26.4 Chronic or unspecified duodenal ulcer with hemorrhage
K26.5 Chronic or unspecified duodenal ulcer with perforation
K26.6 Chronic or unspecified duodenal ulcer with both hemorrhage and perforation
K26.7 Chronic duodenal ulcer without hemorrhage or perforation
K26.9 Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation
K27 Peptic ulcer, site unspecified

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.