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K25.2

Billable

Acute gastric ulcer with both hemorrhage and perforation

HCC Category Mapping

V28HCC 78Intestinal Obstruction/Perforation
0.000
V24HCC 33Intestinal Obstruction/Perforation
0.226
ESRDHCC 33Intestinal Obstruction/Perforation
0.000

What This Code Means

A sudden, severe ulcer in the stomach that is both bleeding and has perforated through the stomach wall.

Coding Tips

  • This represents the most severe acute gastric ulcer presentation requiring urgent intervention
  • Document both the hemorrhage management and surgical repair of perforation

Clinical Significance

Acute gastric ulcer with both hemorrhage and perforation represents the most severe acute ulcer presentation, with simultaneous active bleeding and full-thickness wall penetration. This dual complication carries the highest mortality risk among gastric ulcer presentations and requires emergent multi-modal intervention. Accurate capture is critical for reflecting true case severity.

Documentation Requirements

  • Provider documentation confirming BOTH hemorrhage AND perforation are present simultaneously
  • Evidence of hemorrhage (hematemesis, melena, hemoglobin drop, endoscopic findings)
  • Evidence of perforation (free air on imaging, peritoneal signs, operative findings)
  • Acuity documented as acute
  • Location confirmed as gastric (stomach)
  • Documentation of surgical and hemostatic interventions performed

Commonly Confused Codes

Code Hierarchy

K25Gastric ulcerK25.2Acute gastric ulcer with both hemorrhage and perforation
K25.2Acute gastric ulcer with both hemorrhage and perforation

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