2024 ICD-10-CM Diagnosis Code K28.6

Chronic or unspecified gastrojejunal ulcer with both hemorrhage and perforation

ICD-10-CM Code:
K28.6
ICD-10 Code for:
Chronic or unsp gastrojejunal ulcer w both hemor and perf
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Chronic
Code Navigator:

Code Classification

  • Diseases of the digestive system
    (K00–K95)
    • Diseases of esophagus, stomach and duodenum
      (K20-K31)
      • Gastrojejunal ulcer
        (K28)

K28.6 is a billable diagnosis code used to specify a medical diagnosis of chronic or unspecified gastrojejunal ulcer with both hemorrhage and perforation. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.

Unspecified diagnosis codes like K28.6 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Chronic gastric ulcer with hemorrhage
  • Chronic gastric ulcer with hemorrhage
  • Chronic gastric ulcer with hemorrhage
  • Chronic gastric ulcer with hemorrhage and with obstruction
  • Chronic gastric ulcer with hemorrhage and with perforation
  • Chronic gastric ulcer with hemorrhage and with perforation
  • Chronic gastric ulcer with hemorrhage and with perforation
  • Chronic gastric ulcer with hemorrhage, with perforation and with obstruction
  • Chronic gastric ulcer with obstruction
  • Chronic gastric ulcer with perforation AND with obstruction
  • Chronic gastrojejunal ulcer with hemorrhage
  • Chronic gastrojejunal ulcer with hemorrhage
  • Chronic gastrojejunal ulcer with hemorrhage
  • Chronic gastrojejunal ulcer with hemorrhage and obstruction
  • Chronic gastrojejunal ulcer with hemorrhage and perforation
  • Chronic gastrojejunal ulcer with hemorrhage and perforation
  • Chronic gastrojejunal ulcer with hemorrhage and with perforation but without obstruction
  • Chronic gastrojejunal ulcer with hemorrhage, with perforation and with obstruction
  • Chronic gastrojejunal ulcer with obstruction
  • Chronic gastrojejunal ulcer with perforation
  • Chronic gastrojejunal ulcer with perforation
  • Chronic gastrojejunal ulcer with perforation
  • Chronic gastrojejunal ulcer with perforation AND with obstruction
  • Chronic peptic ulcer with hemorrhage AND obstruction
  • Chronic peptic ulcer with hemorrhage AND perforation
  • Chronic peptic ulcer with hemorrhage AND perforation
  • Chronic peptic ulcer with hemorrhage AND perforation
  • Chronic peptic ulcer with hemorrhage, with perforation AND with obstruction
  • Chronic peptic ulcer with perforation AND obstruction
  • Gastric anastomotic hemorrhage
  • Gastric anastomotic hemorrhage
  • Gastric anastomotic hemorrhage
  • Gastric anastomotic hemorrhage
  • Gastric ulcer with hemorrhage and obstruction
  • Gastric ulcer with hemorrhage, with perforation and with obstruction
  • Gastrojejunal ulcer with hemorrhage AND obstruction
  • Gastrojejunal ulcer with hemorrhage AND obstruction
  • Gastrojejunal ulcer with hemorrhage AND perforation
  • Gastrojejunal ulcer with hemorrhage AND perforation
  • Gastrojejunal ulcer with hemorrhage AND perforation
  • Gastrojejunal ulcer with hemorrhage and with perforation but without obstruction
  • Gastrojejunal ulcer with hemorrhage but without obstruction
  • Gastrojejunal ulcer with hemorrhage but without obstruction
  • Gastrojejunal ulcer with hemorrhage, with perforation and with obstruction
  • Gastrojejunal ulcer with perforation AND obstruction
  • Gastrojejunal ulcer with perforation AND obstruction
  • Gastrojejunal ulcer with perforation but without obstruction
  • Gastrojejunal ulcer with perforation but without obstruction

Clinical Classification

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

Convert K28.6 to ICD-9-CM

  • ICD-9-CM Code: 534.60 - Chr margin ulc hem/perf
    Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Patient Education


Gastrointestinal Bleeding

Your digestive or gastrointestinal (GI) tract includes the esophagus, stomach, small intestine, large intestine or colon, rectum, and anus. Bleeding can come from any of these areas. The amount of bleeding can be so small that only a lab test can find it.

Signs of bleeding in the digestive tract depend where it is and how much bleeding there is.

Signs of bleeding in the upper digestive tract include:

  • Bright red blood in vomit
  • Vomit that looks like coffee grounds
  • Black or tarry stool
  • Dark blood mixed with stool

Signs of bleeding in the lower digestive tract include:

  • Black or tarry stool
  • Dark blood mixed with stool
  • Stool mixed or coated with bright red blood

GI bleeding is not a disease, but a symptom of a disease. There are many possible causes of GI bleeding, including hemorrhoids, peptic ulcers, tears or inflammation in the esophagus, diverticulosis and diverticulitis, ulcerative colitis and Crohn's disease, colonic polyps, or cancer in the colon, stomach or esophagus.

The test used most often to look for the cause of GI bleeding is called endoscopy. It uses a flexible instrument inserted through the mouth or rectum to view the inside of the GI tract. A type of endoscopy called colonoscopy looks at the large intestine.

NIH: National Institute of Diabetes and Digestive and Kidney Diseases


[Learn More in MedlinePlus]

Peptic Ulcer

A peptic ulcer is a sore in the lining of your stomach or your duodenum, the first part of your small intestine. A burning stomach pain is the most common symptom. The pain:

  • Starts between meals or during the night
  • Briefly stops if you eat or take antacids
  • Lasts for minutes to hours
  • Comes and goes for several days or weeks

Peptic ulcers happen when the acids that help you digest food damage the walls of the stomach or duodenum. The most common cause is infection with a bacterium called Helicobacter pylori. Another cause is the long-term use of nonsteroidal anti-inflammatory medicines (NSAIDs) such as aspirin and ibuprofen. Stress and spicy foods do not cause ulcers, but can make them worse.

To see if you have an H. pylori infection, your doctor will test your blood, breath, or stool. Your doctor also may look inside your stomach and duodenum by doing an endoscopy or x-ray.

Peptic ulcers will get worse if not treated. Treatment may include medicines to reduce stomach acids or antibiotics to kill H. pylori. Antacids and milk can't heal peptic ulcers. Not smoking and avoiding alcohol can help. You may need surgery if your ulcers don't heal.

NIH: National Institute of Diabetes and Digestive and Kidney Diseases


[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.