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FY2027 ICD-10-CM reference

K26.0: Acute duodenal ulcer with hemorrhage

By the HCC Buddy Coding Team

The official ICD-10-CM descriptor is Acute duodenal ulcer with hemorrhage. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.

Billable code. Verified against the official FY2027 order file.

CMS-HCC V28

No V28 HCC for 2026 dates of service (CMS 2027 Initial ICD-10-CM Mappings)

CMS-HCC V24

Not used for payment year 2027 Medicare Advantage payment

ESRD

Source verification pending

PACE

Source verification pending

RxHCC

Source verification pending

HHS-HCC

Source verification pending

FY2027 Tabular instructions

Instructions below include applicable chapter, section and parent-code notes. Each note identifies where it appears in the official source.

Excludes2

certain conditions originating in the perinatal period (P04-P96)

Source: K00-K95 (chapter, inherited).

Excludes2

certain infectious and parasitic diseases (A00-B99)

Source: K00-K95 (chapter, inherited).

Excludes2

complications of pregnancy, childbirth and the puerperium (O00-O9A)

Source: K00-K95 (chapter, inherited).

Excludes2

congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)

Source: K00-K95 (chapter, inherited).

Excludes2

endocrine, nutritional and metabolic diseases (E00-E88)

Source: K00-K95 (chapter, inherited).

Excludes2

injury, poisoning and certain other consequences of external causes (S00-T88)

Source: K00-K95 (chapter, inherited).

Excludes2

neoplasms (C00-D49)

Source: K00-K95 (chapter, inherited).

Excludes2

symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Source: K00-K95 (chapter, inherited).

Excludes2

hiatus hernia (K44.-)

Source: K20-K31 (section, inherited).

Includes

erosion (acute) of duodenum

Source: K26 (category, inherited).

Includes

duodenum ulcer (peptic)

Source: K26 (category, inherited).

Includes

postpyloric ulcer (peptic)

Source: K26 (category, inherited).

Instructional note

code to identify:

Source: K26 (category, inherited).

Instructional note

alcohol abuse and dependence (F10.-)

Source: K26 (category, inherited).

Excludes1

peptic ulcer NOS (K27.-)

Source: K26 (category, inherited).

Source: CMS FY2027 Tabular List and Alphabetic Index.

Open Tabular instructions and code details

Compare the FY2027 additions, removals and billable-status changes

What does K26.0 mean in FY2027?

The official ICD-10-CM descriptor is Acute duodenal ulcer with hemorrhage. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.

Is K26.0 billable in FY2027?

The FY2027 order file marks K26.0 as billable. Check the complete Tabular instructions and documentation before assigning it.

Does K26.0 map to an HCC?

K26.0 has no CMS-HCC V28 category in the CMS 2027 Initial ICD-10-CM Mappings (payment year 2027, 2026 dates of service). ESRD, RxHCC, PACE and HHS-HCC mappings are still pending verification for FY2027.

Source: CMS FY2027 ICD-10-CM order file. Read the FY2027 Official Guidelines.

Review the FY2026 April edition