K26.9
K26.9: Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation
Billable / specific codeICD-10-CM
K26.9 is a billable, specific ICD-10-CM code for duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation. It is valid for submission on a claim.
Check K26.9 with the rest of the claim: free scrubberOther codes that can never be billed with K26.9
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.
Medicare coverage
K26.9 is named in 7 Medicare coverage policies: 7 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›duodenum, duodenal(eroded) (peptic)
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under K26
- K26.0Acute duodenal ulcer with hemorrhage
- K26.1Acute duodenal ulcer with perforation
- K26.2Acute duodenal ulcer with both hemorrhage and perforation
- K26.3Acute duodenal ulcer without hemorrhage or perforation
- K26.4Chronic or unspecified duodenal ulcer with hemorrhage
- K26.5Chronic or unspecified duodenal ulcer with perforation
- K26.6Chronic or unspecified duodenal ulcer with both hemorrhage and perforation
- K26.7Chronic duodenal ulcer without hemorrhage or perforation