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Home/Diagnosis/ICD-10 Coding for Ulcer

ICD-10 Coding for Ulcer

K25.0
L89.210
L97.423

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

Also Known as:
Peptic Ulcer
Pressure Ulcer
Diabetic Foot Ulcer
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Key Information: ICD-10 Coding for Ulcer

Essential facts and insights about ICD-10 Coding for Ulcer

Use ICD-10 code K25.0 for acute gastric ulcer with hemorrhage, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Acute gastric ulcer with hemorrhage

Billable Code
K25.0
Billable

Diagnostic Criteria

  • • Documented acute gastric ulcer with bleeding

Applicable To

  • • Acute gastric ulcer with bleeding

Important Notes

  • • Ensure documentation specifies acute nature and presence of hemorrhage.

Pressure ulcer of right hip, unstageable

Billable Code
L89.210
Billable

Diagnostic Criteria

  • • Use when a pressure ulcer is documented as unstageable due to eschar or slough.

Applicable To

  • • Unstageable pressure ulcer of right hip

Important Notes

  • • Ensure documentation specifies unstageable status.

Non-pressure chronic ulcer of right foot with necrosis of muscle

Billable Code
L97.423
Billable

Diagnostic Criteria

  • • Use for chronic ulcers with documented muscle necrosis.

Applicable To

  • • Diabetic foot ulcer with muscle necrosis

Important Notes

  • • Ensure documentation includes ulcer location, laterality, and depth.
Ancillary Codes

Additional codes that may be used with this diagnosis

E11.621

Type 2 diabetes mellitus with foot ulcer

Use to indicate diabetes as underlying cause.

Frequently Asked Questions

How do you code a diabetic foot ulcer?

Code a diabetic foot ulcer using L97.- for the ulcer and E11.621 for diabetes. Ensure documentation includes ulcer location, laterality, and depth.

What is the ICD-10 code for a pressure ulcer?

Pressure ulcers are coded with L89.-, based on location, laterality, and stage. Accurate staging is crucial for proper coding.

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