K27.4

K27.4: Chronic or unspecified peptic ulcer, site unspecified, with hemorrhage

Billable / specific codeICD-10-CM

K27.4 is a billable, specific ICD-10-CM code for chronic or unspecified peptic ulcer, site unspecified, with hemorrhage. It is valid for submission on a claim.

Check K27.4 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above K27.4

A category’s note binds every code beneath it.

Written on K27: Peptic ulcer, site unspecified

peptic ulcer of newborn (P78.82)

Other codes that can never be billed with K27.4

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

K25Gastric ulcer
K26Duodenal ulcer
K63.3Ulcer of intestine

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

K27.4 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

Hematemesis›with ulcer - code by site under Ulcer, with hemorrhage
Hemorrhage, hemorrhagic›ulcer - code by site under Ulcer, with hemorrhage
Melena›with ulcer - code by site under Ulcer, with hemorrhage
Ulcer, ulcerated, ulcerating, ulceration, ulcerative›bleeding
Ulcer, ulcerated, ulcerating, ulceration, ulcerative›peptic›with›hemorrhage
Ulcer, ulcerated, ulcerating, ulceration, ulcerative›peptic›chronic›with›hemorrhage

Code history

Unchanged in every release from FY2024 to FY2027.