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ICD-10-CM Codes
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K00-K95
Diseases of the digestive system
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K20-K31
Diseases of esophagus, stomach and duodenum
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Peptic ulcer, site unspecified K27- >
Use AdditionalUse 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.
Type 1 ExcludesType 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 K27. 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.
IncludesIncludes Help
"Includes" further defines, or give examples of, the content of the code or category.
- gastroduodenal ulcer NOS
- peptic ulcer NOS
Clinical Information
- A break in the lining of the lower part of the esophagus, the stomach, or the upper part of the small intestine. Peptic ulcers form when cells on the surface of the lining become inflamed and die. They are usually caused by helicobacter pylori bacteria and by certain medicines, such as aspirin and other nonsteroidal anti-inflammatory drugs (nsaids). Peptic ulcers may be linked to cancer and other diseases.
- A mucosal erosion that occurs in the stomach or duodenum. Symptoms include abdominal pain, nausea and vomiting, and bleeding.
- A peptic ulcer is a sore in the lining of your stomach or your duodenum, the first part of your small intestine. A burning stomach pain is the most common symptom. The pain
- may come and go for a few days or weeks
- may bother you more when your stomach is empty
- usually goes away after you eat
peptic ulcers happen when the acids that help you digest food damage the walls of the stomach or duodenum. The most common cause is infection with a bacterium called helicobacter pylori. Another cause is the long-term use of nonsteroidal anti-inflammatory medicines (nsaids) such as aspirin and ibuprofen. Stress and spicy foods do not cause ulcers, but can make them worse. Peptic ulcers will get worse if not treated. Treatment may include medicines to block stomach acids or antibiotics to kill ulcer-causing bacteria. Not smoking and avoiding alcohol can help. Surgery may help for ulcers that don't heal.
- Local defect produced by the sloughing of inflammatory necrotic tissue that occurs in the regions of the gastrointestinal tract which come into contact with gastric juice; occurs when there are defects in the mucosa barrier; common forms of peptic ulcers are associated with helicobacter pylori and the consumption of nonsteroidal antiinflammatory drugs.
- Ulcer that occurs in the regions of the gastrointestinal tract which come into contact with gastric juice containing pepsin and gastric acid. It occurs when there are defects in the mucosa barrier. The common forms of peptic ulcers are associated with helicobacter pylori and the consumption of nonsteroidal anti-inflammatory drugs (nsaids).
Codes
- K27 Peptic ulcer, site unspecified
- K27.0 Acute peptic ulcer, site unspecified, with hemorrhage
- K27.1 Acute peptic ulcer, site unspecified, with perforation
- K27.2 Acute peptic ulcer, site unspecified, with both hemorrhage and perforation
- K27.3 Acute peptic ulcer, site unspecified, without hemorrhage or perforation
- K27.4 Chronic or unspecified peptic ulcer, site unspecified, with hemorrhage
- K27.5 Chronic or unspecified peptic ulcer, site unspecified, with perforation
- K27.6 Chronic or unspecified peptic ulcer, site unspecified, with both hemorrhage and perforation
- K27.7 Chronic peptic ulcer, site unspecified, without hemorrhage or perforation
- K27.9 Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation
