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Home/Diagnosis/ICD-10 Coding for Perforated Duodenal Ulcer

ICD-10 Coding for Perforated Duodenal Ulcer

K26.1
K26.5

Complete ICD-10-CM coding and documentation guide for icd-10 coding for perforated duodenal ulcer includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Duodenal Ulcer with Perforation
Perforated Peptic Ulcer
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Key Information: ICD-10 Coding for Perforated Duodenal Ulcer

Essential facts and insights about ICD-10 Coding for Perforated Duodenal Ulcer

Use ICD-10 code K26.1 for acute duodenal ulcer with perforation, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Acute duodenal ulcer with perforation

Billable Code
K26.1
Billable

Diagnostic Criteria

clinical:
  • • Acute onset with imaging confirmation
documentation:
  • • Explicit mention of 'acute' and 'perforation'

Applicable To

  • • Acute perforated duodenal ulcer

Important Notes

  • • Ensure documentation specifies 'acute' to avoid defaulting to chronic codes.

Chronic or unspecified duodenal ulcer with perforation

Billable Code
K26.5
Billable

Diagnostic Criteria

clinical:
  • • History of PUD
  • • Gradual symptom progression
  • • Endoscopic evidence of chronic mucosal changes

Applicable To

  • • Chronic perforated duodenal ulcer

Important Notes

  • • Ensure documentation specifies 'chronic' or 'unspecified' to avoid defaulting to acute codes.
Ancillary Codes

Additional codes that may be used with this diagnosis

B96.81

H. pylori infection

Use if H. pylori is confirmed by biopsy or breath test.

F10.231

Alcohol dependence with withdrawal

Use if alcohol dependence is documented.

Frequently Asked Questions

What is the ICD-10 code for a perforated duodenal ulcer?

The ICD-10 code for an acute perforated duodenal ulcer is K26.1, while K26.5 is used for chronic or unspecified cases.

How do you document a perforated duodenal ulcer?

Documentation should specify the acuity (acute or chronic), confirm perforation via imaging or surgery, and note any contributing factors like NSAID use.

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