Gastric ulcer, unsp as acute or chronic, w/o hemor or perf

This code signifies a gastric ulcer where the medical record does not specify if the ulcer is acute or chronic. Importantly, there is no documentation of bleeding (hemorrhage) or a hole (perforation) in the stomach wall associated with this ulcer. It represents a basic, uncomplicated gastric ulcer of unknown duration.

Use this code when documentation clearly indicates a gastric ulcer but lacks specificity regarding its acuity (acute vs. chronic) and explicitly states the absence of hemorrhage or perforation. This is appropriate for initial diagnoses or when further details are pending. Documentation supporting this code might include an endoscopy report identifying a gastric ulcer without signs of bleeding or perforation, or a physician's note stating "gastric ulcer, no bleeding, no perforation."

• Avoid using this code if the documentation specifies "acute gastric ulcer" or "chronic gastric ulcer"; instead, use the more specific codes within the K25 category.
• Do not use this code if hemorrhage or perforation is present; specific codes for those conditions (e.g., K25.4, K25.6) must be utilized.
• Query the provider for clarification on acuity (acute/chronic) and the presence/absence of hemorrhage or perforation if the documentation is ambiguous to allow for more precise coding.