Acute gastrojejunal ulcer with hemorrhage

This code signifies a newly developed ulceration occurring at the surgical anastomosis between the stomach and jejunum, accompanied by active bleeding. This condition typically presents with symptoms such as hematemesis, melena, or signs of acute blood loss anemia.

Apply this code when documentation clearly indicates an acute gastrojejunal ulcer and specifically mentions hemorrhage. This often arises in patients with a history of gastrectomy or gastrojejunostomy. Supporting documentation includes endoscopy reports confirming the ulcer and active bleeding, or physician notes detailing clinical signs of hemorrhage.

• Ensure the documentation specifies "acute" and "hemorrhage" for accurate code assignment; chronic ulcers with hemorrhage are coded differently.
• Do not use this code for ulcers in other locations (e.g., gastric, duodenal) or for gastrojejunal ulcers without documented bleeding.
• Code any associated anemia due to acute blood loss (D62) as a secondary diagnosis.