ICD-10-CM Code K25.1

Valid for Submission

K25.1 is a billable code used to specify a medical diagnosis of acute gastric ulcer with perforation. The code is valid for the year 2020 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

Index to Diseases and Injuries

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:

• - Ulcer, ulcerated, ulcerating, ulceration, ulcerative
  • - stomach (eroded) (peptic) (round) - K25.9
    • - acute - K25.3
      • - with
        • - perforation - K25.1

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

The ICD-10 code K25.1 is grouped in the following groups for version MS-DRG V37.0 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 10/01/2019 through 09/30/2020.

• 380 - COMPLICATED PEPTIC ULCER WITH MCC
• 381 - COMPLICATED PEPTIC ULCER WITH CC
• 382 - COMPLICATED PEPTIC ULCER WITHOUT CC/MCC

Convert K25.1 to ICD-9

• 531.10 - Ac stomach ulcer w perf (Approximate Flag)

Code Classification

• Diseases of the digestive system (K00–K93)
  • Diseases of esophagus, stomach and duodenum (K20-K31)
    • Gastric ulcer (K25)

Code History

• FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
  (First year ICD-10-CM implemented into the HIPAA code set)
• FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
• FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
• FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
• FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Tools

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• Convert K25.1 to ICD-9