K25.2

K25.2: Acute gastric ulcer with both hemorrhage and perforation

Billable / specific codeICD-10-CM

K25.2 is a billable, specific ICD-10-CM code for acute gastric ulcer with both hemorrhage and perforation. It is valid for submission on a claim.

Check K25.2 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above K25.2

A category’s note binds every code beneath it.

Written on K25: Gastric ulcer

acute gastritis (K29.0-)
peptic ulcer NOS (K27.-)

Other codes that can never be billed with K25.2

Their own Excludes1 notes name this code, so the conflict is not listed above.

K29.0Acute gastritis

Risk adjustment

K25.2 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

HCC 78 Intestinal Obstruction/Perforation0.326 RAF

Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.

Medicare coverage

K25.2 is named in 4 Medicare coverage policies: 4 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

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)

Alphabetic index entries that lead here

Ulcer, ulcerated, ulcerating, ulceration, ulcerative›stomach›acute›with›hemorrhage›and perforation

Code history

Unchanged in every release from FY2024 to FY2027.