2021 ICD-10-CM Diagnosis Code K27.4

Chronic or unspecified peptic ulcer, site unspecified, with hemorrhage

    2016 2017 2018 2019 2020 2021 Billable/Specific Code
  • K27.4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • Short description: Chronic or unsp peptic ulcer, site unsp, with hemorrhage
  • The 2021 edition of ICD-10-CM K27.4 became effective on October 1, 2020.
  • This is the American ICD-10-CM version of K27.4 - other international versions of ICD-10 K27.4 may differ.
The following code(s) above K27.4 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 K27.4:
  • K00-K95
    2021 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
    2021 ICD-10-CM Range K20-K31

    Diseases of esophagus, stomach and duodenum

    Type 2 Excludes
    Diseases of esophagus, stomach and duodenum
  • K27
    ICD-10-CM Diagnosis Code K27

    Peptic ulcer, site unspecified

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Includes
    • gastroduodenal ulcer NOS
    • peptic ulcer NOS
    Type 1 Excludes
    • peptic ulcer of newborn (P78.82)
    Use Additional
    • code to identify:
    • alcohol abuse and dependence (F10.-)
    Peptic ulcer, site unspecified
Approximate Synonyms
  • Chronic peptic ulcer with hemorrhage
  • Peptic ulcer with hemorrhage
ICD-10-CM K27.4 is grouped within Diagnostic Related Group(s) (MS-DRG v38.0):
  • 377 Gastrointestinal hemorrhage with mcc
  • 378 Gastrointestinal hemorrhage with cc
  • 379 Gastrointestinal hemorrhage without cc/mcc

Convert K27.4 to ICD-9-CM

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

Diagnosis Index entries containing back-references to K27.4:
  • Hematemesis K92.0
    ICD-10-CM Diagnosis Code K92.0

    Hematemesis

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    • with ulcer - code by site under Ulcer, with hemorrhage K27.4
  • Hemorrhage, hemorrhagic (concealed) R58
    ICD-10-CM Diagnosis Code R58

    Hemorrhage, not elsewhere classified

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Applicable To
    • Hemorrhage NOS
    Type 1 Excludes
    • hemorrhage included with underlying conditions, such as:
    • acute duodenal ulcer with hemorrhage (K26.0)
    • acute gastritis with bleeding (K29.01)
    • ulcerative enterocolitis with rectal bleeding (K51.01)
    • ulcer - code by site under Ulcer, with hemorrhage K27.4
  • Melena K92.1
    ICD-10-CM Diagnosis Code K92.1

    Melena

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Type 1 Excludes
    • occult blood in feces (R19.5)
    • with ulcer - code by site under Ulcer, with hemorrhage K27.4
  • Ulcer, ulcerated, ulcerating, ulceration, ulcerative
    • peptic (site unspecified) K27.9
      ICD-10-CM Diagnosis Code K27.9

      Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation

        2016 2017 2018 2019 2020 2021 Billable/Specific Code
      • with
      • chronic K27.7
        ICD-10-CM Diagnosis Code K27.7

        Chronic peptic ulcer, site unspecified, without hemorrhage or perforation

          2016 2017 2018 2019 2020 2021 Billable/Specific Code
    • bleeding K27.4

ICD-10-CM Codes Adjacent To K27.4
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
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
K28 Gastrojejunal ulcer
K28.0 Acute gastrojejunal ulcer with hemorrhage
K28.1 Acute gastrojejunal ulcer with perforation
K28.2 Acute gastrojejunal ulcer with both hemorrhage and perforation
K28.3 Acute gastrojejunal ulcer without hemorrhage or perforation
K28.4 Chronic or unspecified gastrojejunal ulcer with hemorrhage

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