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K28 ICD-10-CM Code: Gastrojejunal ulcer

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FY 2026 Apr update / Diseases of the digestive system (K00-K95) / Diseases of esophagus, stomach and duodenum (K20-K31)

K28

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Gastrojejunal ulcer

Gastrojejunal ulcer

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
K2Diseases of esophagus, stomach and duodenum (K20-K31)
K28Gastrojejunal ulcer

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for K28 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for K28 in this effective period.

Related Child Codes

Official
K28.0Acute gastrojejunal ulcer with hemorrhage
K28.1Acute gastrojejunal ulcer with perforation
K28.2Acute gastrojejunal ulcer with both hemorrhage and perforation
K28.3Acute gastrojejunal ulcer without hemorrhage or perforation
K28.4Chronic or unspecified gastrojejunal ulcer with hemorrhage

Includes

Official
  • anastomotic ulcer (peptic) or erosion
  • gastrocolic ulcer (peptic) or erosion
  • gastrointestinal ulcer (peptic) or erosion
  • gastrojejunal ulcer (peptic) or erosion
  • jejunal ulcer (peptic) or erosion

Excludes 1

Official
  • primary ulcer of small intestine (K63.3)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for K28 in this effective period.

Use Additional

Official
  • code to identify:
  • alcohol abuse and dependence (F10.-)

Code Also

Official

ICD-10-CM does not list Code Also instructions for K28 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

What This Code Means

K28 is the ICD-10-CM diagnosis code for gastrojejunal ulcer. K28 sits in the ICD-10-CM chapter for diseases of the digestive system (k00-k95), within the section covering diseases of esophagus, stomach and duodenum (k20-k31).

Header codes like K28 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at K28's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for K28 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Includes

  • anastomotic ulcer (peptic) or erosion
  • gastrocolic ulcer (peptic) or erosion
  • gastrointestinal ulcer (peptic) or erosion
  • gastrojejunal ulcer (peptic) or erosion
  • jejunal ulcer (peptic) or erosion
  • marginal ulcer (peptic) or erosion
  • stomal ulcer (peptic) or erosion

Excludes 1, Do NOT code together

  • primary ulcer of small intestine (K63.3)

Use Additional Code

  • code to identify:
  • alcohol abuse and dependence (F10.-)

Child Codes

Code Hierarchy

K28Gastrojejunal ulcer
K28Gastrojejunal ulcer

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