ICD code K27.9 is used to classify a peptic ulcer of unknown site and type, without bleeding or rupture, for healthcare documentation.
ICD code K27.9 is used to classify a peptic ulcer where the specific site is not identified, and it is not specified whether the ulcer is acute or chronic. Additionally, this code indicates that the ulcer is not accompanied by hemorrhage (bleeding) or perforation (a hole or tear). This code is typically used when the documentation does not provide detailed information about the ulcer's characteristics or location.
1. Epigastric Pain: Persistent or recurrent pain in the upper abdomen, often described as burning or gnawing, which may improve or worsen with eating.
2. Nausea and Vomiting: Frequent episodes of nausea or vomiting, which may occur alongside abdominal discomfort.
3. Bloating and Fullness: A sensation of bloating or feeling full quickly after starting to eat, even with small meals.
4. Loss of Appetite: A noticeable decrease in appetite, potentially leading to unintended weight loss.
5. Indigestion: Chronic indigestion or dyspepsia, characterized by discomfort or pain in the stomach area, often accompanied by belching.
6. History of NSAID Use: A history of regular use of nonsteroidal anti-inflammatory drugs (NSAIDs), which can increase the risk of developing peptic ulcers.
7. Helicobacter pylori Infection: Evidence of infection with Helicobacter pylori, a bacterium known to contribute to the development of peptic ulcers.
8. Absence of Hemorrhage or Perforation: No clinical signs or diagnostic evidence of bleeding or perforation, such as hematemesis, melena, or acute abdominal pain indicative of perforation.
9. Unspecified Site: Lack of specific localization of the ulcer within the stomach or duodenum, as determined by endoscopy or imaging studies.
10. Unspecified as Acute or Chronic: The ulcer is not clearly defined as either acute or chronic based on clinical evaluation or patient history.
For the ICD code K27.9, the relevant CPT codes that may be applicable for treatment include:
1. 43235 - Esophagogastroduodenoscopy (EGD) diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure).
2. 43239 - Esophagogastroduodenoscopy (EGD) with biopsy, single or multiple.
3. 43249 - Esophagogastroduodenoscopy (EGD) with balloon dilation of esophagus (less than 30 mm diameter).
4. 43255 - Esophagogastroduodenoscopy (EGD) with control of bleeding, any method.
5. 44602 - Suture of small intestine (enterorrhaphy) for perforated ulcer, single perforation.
6. 44604 - Suture of small intestine (enterorrhaphy) for perforated ulcer, multiple perforations.
These CPT codes are examples of procedures that might be performed in the management or treatment of conditions associated with ICD code K27.9. It is important for healthcare providers to select the appropriate CPT code based on the specific procedures performed and the clinical context.
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