K25
K25: Gastric ulcer
Non-billable headerICD-10-CM
K25 is a non-billable header ICD-10-CM code for gastric ulcer. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Use additional code
Add a secondary code to capture the detail described below.
- code to identify:
- alcohol abuse and dependence (F10.-)
Includes
Conditions this code covers.
- erosion (acute) of stomach
- pylorus ulcer (peptic)
- stomach ulcer (peptic)
Other codes that can never be billed with K25
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead K25
9 child codes. Green means billable.
- K25.0Acute gastric ulcer with hemorrhage
- K25.1Acute gastric ulcer with perforation
- K25.2Acute gastric ulcer with both hemorrhage and perforation
- K25.3Acute gastric ulcer without hemorrhage or perforation
- K25.4Chronic or unspecified gastric ulcer with hemorrhage
- K25.5Chronic or unspecified gastric ulcer with perforation
- K25.6Chronic or unspecified gastric ulcer with both hemorrhage and perforation
- K25.7Chronic gastric ulcer without hemorrhage or perforation
- K25.9Gastric ulcer, unspecified as acute or chronic, without hemorrhage or perforation