Chronic or unspecified gastrojejunal ulcer with hemorrhage

This code signifies a long-standing or unclarified ulceration located at the surgical connection between the stomach and jejunum, accompanied by active or evidence of past bleeding. This condition typically arises as a complication of gastric bypass surgery or other gastrojejunostomy procedures. The hemorrhage can manifest as hematemesis, melena, or occult bleeding.

Use this code when documentation clearly indicates a chronic or unspecified gastrojejunal ulcer and explicitly states the presence of hemorrhage. This applies to patients presenting with symptoms of upper gastrointestinal bleeding in the context of a prior gastrojejunostomy. Supporting documentation should include endoscopic findings, pathology reports, or physician notes detailing both the ulcer and the bleeding.

• Ensure the documentation specifies "chronic" or "unspecified" and explicitly mentions "hemorrhage" to differentiate from ulcers without bleeding.
• Do not use this code for acute gastrojejunal ulcers; separate codes exist for those.
• Sequence this code as the primary diagnosis when the hemorrhage is the reason for the encounter, or as a secondary diagnosis if the hemorrhage is a complication of another primary condition.