Valid for Submission
K28.5 is a billable diagnosis code used to specify a medical diagnosis of chronic or unspecified gastrojejunal ulcer with perforation. The code K28.5 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 K28.5 might also be used to specify conditions or terms like chronic gastric ulcer with obstruction, chronic gastric ulcer with perforation and with obstruction, chronic gastrojejunal ulcer with obstruction, chronic gastrojejunal ulcer with perforation, chronic gastrojejunal ulcer with perforation and with obstruction , chronic gastrojejunal ulcer with perforation but without obstruction, etc.
Unspecified diagnosis codes like K28.5 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.
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 K28.5 are found in the index:
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Chronic gastric ulcer with obstruction
- Chronic gastric ulcer with perforation AND with obstruction
- Chronic gastrojejunal ulcer with obstruction
- Chronic gastrojejunal ulcer with perforation
- Chronic gastrojejunal ulcer with perforation AND with obstruction
- Chronic gastrojejunal ulcer with perforation but without obstruction
- Chronic peptic ulcer with perforation AND obstruction
- Gastrojejunal ulcer with perforation
- Gastrojejunal ulcer with perforation AND obstruction
- Gastrojejunal ulcer with perforation but without obstruction
Diagnostic Related Groups - MS-DRG Mapping
|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 K28.5 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code K28.5 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.
Information for Patients
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
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