K25.2 — Acute gastric ulcer with both hemorrhage and perforation
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.
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.
Medicare coverage
K25.2 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 K25.2 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 K25.2.
- Ulcer, ulcerated, ulcerating, ulceration, ulcerative›stomach›acute›with›hemorrhage›and perforation
Related codes at this level
Codes that share K25. If K25.2 is not quite right, the correct code is usually one of these.
- K25.0Acute gastric ulcer with hemorrhage
- K25.1Acute gastric ulcer with 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 K25.2
- Is K25.2 a billable ICD-10-CM code?
- Yes. K25.2 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does K25.2 sit in the tabular list?
- Diseases of the digestive system (K00-K95), in the block Diseases of esophagus, stomach and duodenum (K20-K31).