Chr or unsp peptic ulcer, site unsp, w both hemor and perf

This code signifies a peptic ulcer of long duration or unknown onset, where the specific location of the ulcer within the gastrointestinal tract is not documented. Critically, this ulcer presents with both active bleeding (hemorrhage) and a full-thickness defect in the ulcer wall (perforation).

Use this code when documentation clearly indicates a chronic or unspecified peptic ulcer with concurrent hemorrhage and perforation, but the exact site (e.g., gastric, duodenal) is not specified. This typically occurs in emergency settings or when initial diagnostic workup is incomplete regarding ulcer location. Supporting documentation would include endoscopy reports, surgical notes, or physician notes detailing both bleeding and perforation without site identification.

• Ensure documentation explicitly states both hemorrhage and perforation are present. Do not assume one from the other.
• If the site of the peptic ulcer (e.g., gastric, duodenal) is specified, a more specific code from the K25 or K26 series should be used.
• This code implies a severe, complicated ulcer. Consider sequencing with codes for associated conditions like shock or peritonitis if documented.