K25.0 — Acute gastric ulcer with hemorrhage
K25.0 is a billable, specific ICD-10-CM code for acute gastric ulcer with hemorrhage. It is valid for submission on a claim.
Risk adjustment
K25.0 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.
Medicare coverage
K25.0 is named in 4 Medicare coverage policies — 4 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56389Billing and Coding: Upper Gastrointestinal Endoscopy and Visualization
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A57063Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
- A57414Billing and Coding: Upper Gastrointestinal Endoscopy (Diagnostic and Therapeutic)
How K25.0 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to K25.0.
- Ulcer, ulcerated, ulcerating, ulceration, ulcerative›Dieulafoy's
- Ulcer, ulcerated, ulcerating, ulceration, ulcerative›stomach›acute›with›hemorrhage
Related codes at this level
Codes that share K25. If K25.0 is not quite right, the correct code is usually one of these.
- 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 K25.0
- Is K25.0 a billable ICD-10-CM code?
- Yes. K25.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does K25.0 sit in the tabular list?
- Diseases of the digestive system (K00-K95), in the block Diseases of esophagus, stomach and duodenum (K20-K31).