ICD-10 Code K25.6 – Chronic or unspecified gastric ulcer with both hemorrhage and perforation (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code K25.6 – Chronic or unspecified gastric ulcer with both hemorrhage and perforation
What it is
K25.6 identifies a gastric ulcer in the stomach that is chronic or unspecified and has both bleeding and a perforation. Use it when the record confirms this combined complication.
Clinical signs
Clinical features may include upper gastrointestinal bleeding and signs of perforation, such as sudden severe abdominal pain or peritoneal irritation. Clinical features vary; refer to documentation.
When to use this code
Use K25.6 when provider documentation states a chronic or unspecified stomach ulcer with both hemorrhage and perforation. It applies whether the ulcer is active or described without a current acute qualifier, as long as both complications are documented.
Do not assume this code from bleeding alone or from perforation alone. If the record does not clearly identify the gastric site or both complications, check documentation before assigning the code.
Do not use for
Do not use for peptic ulcers in other locations, such as duodenal or gastrojejunal ulcers. Do not use when only hemorrhage or only perforation is documented.
Coding tip
Confirm both the gastric location and the dual complication in the provider note before coding K25.6.