Chronic or unsp gastrojejunal ulcer w both hemor and perf

This code signifies a long-standing or unspecific ulcer located at the gastrojejunal anastomosis, which is actively bleeding and has a full-thickness defect through the ulcer wall. This represents a severe complication of a gastrojejunal ulcer, requiring immediate medical attention.

Use this code when documentation clearly indicates a chronic or unspecified gastrojejunal ulcer presenting with both active hemorrhage (e.g., hematemesis, melena, positive occult blood, or endoscopic evidence of bleeding) and perforation (e.g., free air on imaging, peritonitis, or surgical confirmation of a hole). This typically applies to patients with a history of gastric surgery involving a gastrojejunostomy.

• Ensure documentation specifies "chronic" or "unspecified" and explicitly states both hemorrhage and perforation are present.
• Do not use this code if only hemorrhage or only perforation is documented; separate codes exist for each.
• Sequence this code as the principal diagnosis if it is the primary reason for the encounter, followed by codes for any associated conditions or complications.