Ulcer of esophagus without bleeding

This code signifies an esophageal ulcer that is not actively hemorrhaging. It represents a localized defect in the esophageal mucosa extending into the submucosa, caused by various factors such as acid reflux, medication, or infection.

Assign this code when documentation clearly indicates an esophageal ulcer without any mention of active bleeding, hematemesis, melena, or positive occult blood tests. This typically applies to chronic ulcers or those identified incidentally during endoscopy without signs of hemorrhage.

• Always review the endoscopy report and physician notes for any mention of bleeding, even if minor or resolved.
• Distinguish from K22.11 (Ulcer of esophagus with bleeding) if hemorrhage is present.
• Consider an additional code for the underlying cause of the ulcer (e.g., GERD, drug-induced) if documented.