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
These codes carry an Excludes1 note pointing at K25. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading K25 alone.
Risk adjustment
K25 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
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
Questions about K25
- Is K25 a billable ICD-10-CM code?
- No. K25 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does K25 sit in the tabular list?
- Diseases of the digestive system (K00-K95), in the block Diseases of esophagus, stomach and duodenum (K20-K31).
- What cannot be coded together with K25?
- K25 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.