ICD-10 Code K27.6 – Chronic or unspecified peptic ulcer, site unspecified, with both hemorrhage and perforation (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code K27.6 – Chronic or unspecified peptic ulcer, site unspecified, with both hemorrhage and perforation
What it is
This code identifies a peptic ulcer in an unspecified site that is both bleeding and perforated, and the ulcer is described as chronic or not otherwise specified. Use it when the record does not identify the stomach or duodenum.
Clinical signs
Clinical features vary; refer to documentation. Typical findings may include evidence of upper gastrointestinal bleeding plus signs of perforation, such as acute abdominal pain and peritoneal irritation.
When to use this code
Use K27.6 when the provider documents a chronic or unspecified peptic ulcer with both hemorrhage and perforation and does not name a specific site. It also fits when the chart states “site unspecified” or gives equivalent wording. Check documentation if the note separates the bleeding and perforation into different conditions.
Do not use for
Do not use this code for acute peptic ulcers, ulcers with only hemorrhage, or ulcers with only perforation. If the site is documented as gastric or duodenal, code the specified ulcer instead.
Coding tip
Verify that both hemorrhage and perforation are documented together before assigning K27.6.