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ICD-10/K25.4

K25.4 ICD-10-CM Code: Chronic or unspecified gastric ulcer with hemorrhage

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Inpatient Payment Groups (MS-DRG)

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0 (FY2026), Appendix B.

  • MS-DRG 377 — GASTROINTESTINAL HEMORRHAGE WITH MCC (MDC 06)
  • MS-DRG 378 — GASTROINTESTINAL HEMORRHAGE WITH CC (MDC 06)
  • MS-DRG 379 — GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC (MDC 06)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Code Set: Valid FY2026 and FY2027. FY2026 took effect October 1, 2025.

Official Registry Overview & Definition

Chronic or unspecified gastric ulcer with hemorrhage is a billable ICD-10-CM diagnosis code (K25.4).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for K25.4 in the official ICD-10-CM tabular list.

Includes

Conditions the official ICD-10-CM tabular list includes under this code.

  • erosion (acute) of stomach
  • pylorus ulcer (peptic)
  • stomach ulcer (peptic)

Excludes1 — Not Coded Here

Conditions that can never be reported with this code; the two are mutually exclusive.

  • acute gastritis (K29.0-)
  • peptic ulcer NOS (K27.-)

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

  • hiatus hernia (K44.-)

Use Additional Code

Supplementary codes the tabular list directs you to add.

  • Use additional code to identify:
  • alcohol abuse and dependence (F10.-)

Nearest Codes in This Family

Official ICD-10-CM classifications closest to K25.4 in its code family, with their registry titles.

  • K25 — Gastric ulcer
  • K25.0 — Acute gastric ulcer with hemorrhage
  • K25.1 — Acute gastric ulcer with perforation
  • K25.2 — Acute gastric ulcer with both hemorrhage and perforation
  • K25.3 — Acute gastric ulcer without hemorrhage or perforation
  • K25.5 — Chronic or unspecified gastric ulcer with perforation
  • K25.6 — Chronic or unspecified gastric ulcer with both hemorrhage and perforation
  • K25.7 — Chronic gastric ulcer without hemorrhage or perforation
  • K25.9 — Gastric ulcer, unspecified as acute or chronic, without hemorrhage or perforation

View all codes in the K25 family

Indexed Clinical Terms (2)

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.

  • Ulcer, ulcerated, ulcerating, ulceration, ulcerative, stomach (eroded) (peptic) (round), chronic, with, hemorrhage
  • Ulcer, ulcerated, ulcerating, ulceration, ulcerative, stomach (eroded) (peptic) (round), with, hemorrhage