2022 ICD-10-CM Code K25.1
Acute gastric ulcer with perforation
Code Classification
K25.1 is a billable diagnosis code used to specify a medical diagnosis of acute gastric ulcer with perforation. The code K25.1 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The ICD-10-CM code K25.1 might also be used to specify conditions or terms like acute gastric ulcer with obstruction, acute gastric ulcer with perforation, acute gastric ulcer with perforation and obstruction, acute gastric ulcer with perforation but without obstruction, acute peptic ulcer with perforation and obstruction , gastric ulcer with perforation but without obstruction, etc.
Entries in the Index to Diseases and Injuries with references to K25.1
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code K25.1 are found in the index:
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Acute gastric ulcer with obstruction
- Acute gastric ulcer with perforation
- Acute gastric ulcer with perforation AND obstruction
- Acute gastric ulcer with perforation but without obstruction
- Acute peptic ulcer with perforation AND obstruction
- Gastric ulcer with perforation but without obstruction
Diagnostic Related Groups - MS-DRG Mapping
The ICD-10 code K25.1 is grouped in the following groups for version MS-DRG V39.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). applicable from 10/01/2021 through 09/30/2022.
| MS-DRG | MS-DRG Title | MCD | Relative Weight |
|---|---|---|---|
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | 06 | 1.8831 |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | 06 | 1.0597 |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | 06 | 0.7683 |
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.
Convert K25.1 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code K25.1 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
- 531.10 - Ac stomach ulcer w perf (Approximate Flag)
Information for Patients
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]
Related Codes
| ICD Code | Description | Valid for Submission |
|---|---|---|
| K25 | Gastric ulcer | NON-BILLABLE CODE |
| K25.0 | Acute gastric ulcer with hemorrhage | BILLABLE CODE |
| K25.2 | Acute gastric ulcer with both hemorrhage and perforation | BILLABLE CODE |
| K25.3 | Acute gastric ulcer without hemorrhage or perforation | BILLABLE CODE |
| K25.4 | Chronic or unspecified gastric ulcer with hemorrhage | BILLABLE CODE |
| K25.5 | Chronic or unspecified gastric ulcer with perforation | BILLABLE CODE |
| K25.6 | Chronic or unspecified gastric ulcer with both hemorrhage and perforation | BILLABLE CODE |
| K25.7 | Chronic gastric ulcer without hemorrhage or perforation | BILLABLE CODE |
| K25.9 | Gastric ulcer, unspecified as acute or chronic, without hemorrhage or perforation | BILLABLE CODE |
Code History
- 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 (First year ICD-10-CM implemented into the HIPAA code set)
