Acute gastric ulcer with hemorrhage

This code signifies a newly developed ulceration of the stomach lining that is actively bleeding. The hemorrhage can manifest as hematemesis, melena, or occult blood loss, leading to symptoms such as anemia, dizziness, and abdominal pain.

Apply this code when documentation clearly indicates an acute gastric ulcer with evidence of active bleeding. This includes findings from endoscopy (e.g., active oozing, visible vessel, adherent clot) or clinical signs of hemorrhage.

• Ensure the documentation specifies "acute" and not "chronic" or "unspecified" gastric ulcer.
• Do not use this code if the hemorrhage is explicitly stated as being due to another cause, such as gastritis or esophageal varices.
• Code any associated anemia due to acute blood loss separately, typically as a secondary diagnosis.