ICD-10 Code K25.2 – Acute gastric ulcer with both hemorrhage and perforation (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code K25.2 – Acute gastric ulcer with both hemorrhage and perforation
What it is
K25.2 identifies an acute gastric ulcer in the stomach that has both bleeding and a perforation through the wall. Use it when documentation shows this combined complication, not a simple ulcer.
Clinical signs
Typical findings include upper gastrointestinal bleeding and evidence of perforation, such as sudden abdominal pain or signs of peritonitis. Clinical features vary; refer to documentation.
When to use this code
Use K25.2 when the provider documents an acute gastric ulcer with both hemorrhage and perforation. It fits inpatient, emergency, or surgical records that clearly identify the stomach as the ulcer site and both complications are present.
Do not assign it if the record only states bleeding, only perforation, or a peptic ulcer without gastric location. Check documentation for acute status and the exact complication wording.
Do not use for
Do not use K25.2 for duodenal ulcers, chronic gastric ulcers, or ulcers without both hemorrhage and perforation. If the site or complications are unclear, check documentation.
Coding tip
Code the ulcer site and both complications exactly as documented; if either element is missing, verify the record before assigning K25.2.