K28
K28: Gastrojejunal ulcer
Non-billable headerICD-10-CM
K28 is a non-billable header ICD-10-CM code for gastrojejunal ulcer. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- primary ulcer of small intestine (K63.3)
Use additional code
Add a secondary code to capture the detail described below.
- code to identify:
- alcohol abuse and dependence (F10.-)
Includes
Conditions this code covers.
- anastomotic ulcer (peptic) or erosion
- gastrocolic ulcer (peptic) or erosion
- gastrointestinal ulcer (peptic) or erosion
- gastrojejunal ulcer (peptic) or erosion
- jejunal ulcer (peptic) or erosion
- marginal ulcer (peptic) or erosion
- stomal ulcer (peptic) or erosion
Other codes that can never be billed with K28
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.
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead K28
9 child codes. Green means billable.
- K28.0Acute gastrojejunal ulcer with hemorrhage
- K28.1Acute gastrojejunal ulcer with perforation
- K28.2Acute gastrojejunal ulcer with both hemorrhage and perforation
- K28.3Acute gastrojejunal ulcer without hemorrhage or perforation
- K28.4Chronic or unspecified gastrojejunal ulcer with hemorrhage
- K28.5Chronic or unspecified gastrojejunal ulcer with perforation
- K28.6Chronic or unspecified gastrojejunal ulcer with both hemorrhage and perforation
- K28.7Chronic gastrojejunal ulcer without hemorrhage or perforation
- K28.9Gastrojejunal ulcer, unspecified as acute or chronic, without hemorrhage or perforation