ICD-10 Code K28.2 – Acute gastrojejunal ulcer with both hemorrhage and perforation (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Acute gastrojejunal ulcer with both hemorrhage and perforation is K28.2.
2026 ICD-10-CM Diagnosis Code K28.2 – Acute gastrojejunal ulcer with both hemorrhage and perforation

What it is

K28.2 identifies an acute gastrojejunal ulcer that has both bleeding and perforation. Use it when the record clearly documents a gastrojejunal ulcer with these two complications.

Clinical signs

Clinical features vary; refer to documentation. Typical findings may include evidence of upper gastrointestinal bleeding and signs of a perforated ulcer, but you should code only what is explicitly stated.

When to use this code

Use K28.2 when the provider documents an acute gastrojejunal ulcer with hemorrhage and perforation in the same encounter. It applies when both complications are current and linked to the ulcer diagnosis. Check documentation if the record mentions only one complication or does not specify acuity.

Do not use for

Do not use this code for chronic gastrojejunal ulcers, ulcers without hemorrhage, or ulcers without perforation. If the site, acuity, or complications are unclear, check documentation.

Coding tip

Code K28.2 only when both hemorrhage and perforation are documented together for an acute gastrojejunal ulcer.

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