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K27.9 ICD-10-CM Code: Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation

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

Coding at a Glance

Tabular directives
2 inclusion terms · 1 Excludes1 · 1 Excludes2 · 2 use-additional codes

Inpatient Payment Groups (MS-DRG)

Potential MS-DRG participation — not a DRG assignment.

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

  • MS-DRG 380 — COMPLICATED PEPTIC ULCER WITH MCC (MDC 06)
  • MS-DRG 381 — COMPLICATED PEPTIC ULCER WITH CC (MDC 06)
  • MS-DRG 382 — COMPLICATED PEPTIC ULCER WITHOUT CC/MCC (MDC 06)
  • MS-DRG 383 — UNCOMPLICATED PEPTIC ULCER WITH MCC (MDC 06)
  • MS-DRG 384 — UNCOMPLICATED PEPTIC ULCER WITHOUT 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.

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for K27.9 in the official ICD-10-CM tabular list, quoted as published.

Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2026Effective: October 1, 2025

Notes without a marker are published on K27.9 itself; “inherited from” names the category or block whose note applies here.

Includes

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

  • gastroduodenal ulcer NOS
  • peptic ulcer NOS

Source: inherited from K27

Excludes1 — Not Coded Here

Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Source: inherited from K27

Excludes2 — Not Included Here

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

Source: inherited from K20-K31

Use Additional Code

Supplementary codes the tabular list directs you to add.

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

Source: inherited from K27

Coder workflow for K27.9

MedCoder structured workflow — derived from this code’s own official record

Before you code K27.9

  1. Unspecified does not mean incorrect. When the record gives no greater specificity, K27.9 may be the appropriate code. Check the record for detail that supports a more specific sibling — in this subcategory the siblings differ by acute versus chronic, the presence or absence of the associated condition. An unspecified code is for records that do not provide the detail a more specific code needs; a query, not an assumption, is the route to specificity (Guidelines I.A.9.b, I.B.18).

    See the relationships section · Guide: Other vs unspecified (NEC vs NOS) →

  2. Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with K27.9. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).

    See the official tabular notes

Choose the right path

  1. Does the record document the detail a more specific sibling code needs?
    Yes → Review the specific siblings in this subcategory.
    No → Continue — K27.9 is appropriate when the documentation goes no further.
  2. Does the documentation support a condition named in K27.9’s Excludes1 note?
    Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
    No → Continue.

    ReviewP78.82

Consider K27.9. Then work the Use Additional Code note, and confirm the code is valid for the date of service in the Verify section.

Documentation check

The provider’s diagnostic statement
Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
Acuity
Acute or chronic as documented; when both are documented and separate codes exist, both are reported with the acute code first (Guidelines I.B.8).
The associated condition or complication
Whether the associated condition the title names is documented; the “with” convention presumes some links, and a provider statement that the conditions are unrelated defeats it (Guidelines I.A.15).
The conditions the Use Additional Code note names
Reported with this code when documented; a conditional instruction (“if applicable”, “if known”) applies only when the record supports it.
Any detail beyond this code’s title
What the record states that a more specific sibling code would capture — or its absence, which itself supports the unspecified code.

Official instructions as workflow

  • Excludes1 — check before selecting K27.9(1 note)

    Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with K27.9: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.

    CompareP78.82

    See the official tabular notes · Guidelines I.A.12.a

  • Excludes2 — not part of K27.9(1 note)

    Coding workflow: The conditions named in this note are not included in K27.9. When the record documents both, both may be reported; the note is a boundary, not a prohibition.

    CompareK44

    See the official tabular notes · Guidelines I.A.12.b

  • Use Additional Code — after identifying K27.9(2 notes)

    Coding workflow: Check whether the documentation supports the additional code(s) the note names, and report them with K27.9 when it does. Where the instruction is conditional (“if applicable”, “if known”), it applies only when the record documents the condition.

    ReviewF10

    See the official tabular notes · Guidelines I.A.13

Coding decision scenarios

Pattern scenarios for this code’s structure — decision rules, not clinical cases

Documentation: The provider documents the condition in the terms of this code’s title and records no further detail.

Coding question: Is a more specific sibling code supportable?

Path: Review the subcategory for a sibling that names the missing detail.

Reason: A more specific code needs documentation of the distinguishing element; without it the unspecified code is appropriate, and a provider query is the route to specificity (Guidelines I.A.9.b, I.B.18).

Documentation: Both the condition K27.9 describes and a condition named in its Excludes1 note are documented for the same encounter.

Coding question: Can both codes be reported?

Path: Review the Excludes1 note and the excluded code, and look for a provider statement on whether the two conditions are related.

Reason: Excludes1 means the two are not coded together; the exception is when the record shows the conditions are unrelated to each other (Guidelines I.A.12.a).

ReviewP78.82

Documentation: A condition the Use Additional Code note names is documented.

Coding question: Is a second code reported with K27.9?

Path: Review the Use Additional Code note and the code it names.

Reason: The additional code is reported when the record documents the condition; a conditional instruction applies only when its condition is met (Guidelines I.A.13).

ReviewF10

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Code Overview

Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation is a billable ICD-10-CM diagnosis code (K27.9).

MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Indexed Clinical Terms (2)

Official source data — entries quoted as published, in the Index’s own lookup phrasing

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.

Official Coding Guidelines

No excerpt in the ICD-10-CM Official Guidelines names this code specifically. Its chapter carries only this chapter-wide note:

Chapter 11: Diseases of the Digestive System (K00-K95)

Reserved for future guideline expansion

Decision Points

The directives on this code's own record, as a pre-claim checklist.

  1. 2 Use Additional Code instructions — report the named additional code(s) when the documentation supports them. See the Use Additional Code notes
  2. 1 Excludes1 entry — codes named there are generally not reported together with this code (Guidelines I.A.12.a). See the Excludes1 notes
  3. 1 Excludes2 entry — those conditions are not part of this code and may be reported additionally when documented. See the Excludes2 notes

Checklist rows are derived from this code's own official directives; the wording of each check is MedCoder editorial. The official notes themselves are in the sections each row links to.

Verify Before Coding

  • No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

MedCoder structured relationships — computed from published CMS and AHRQ datasets

Other codes that name K27.9 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 4 Excludes1 notes: K25 — Gastric ulcer (via K27.-), K26 — Duodenal ulcer (via K27.-), K63.3 — Ulcer of intestine (via K27.-), K92.2 — Gastrointestinal hemorrhage, unspecified (via K27.-).

These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.

MS-DRG Grouper Relationships (FY2026)

Potential MS-DRG participation — not a DRG assignment.

FY2026 MS-DRG: not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity for that release.

Named in the grouper logic of 5 MS-DRGs: DRG 380 (MDC 06), DRG 381 (MDC 06), DRG 382 (MDC 06), DRG 383 (MDC 06), DRG 384 (MDC 06).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Clinical classification (AHRQ CCSR):DIG005 — Gastroduodenal ulcer (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Related Codes

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Gastroduodenal ulcer).

K25.1 — Acute gastric ulcer with perforation, K25.3 — Acute gastric ulcer without hemorrhage or perforation, K25.5 — Chronic or unspecified gastric ulcer with perforation, K25.7 — Chronic gastric ulcer without hemorrhage or perforation, K25.9 — Gastric ulcer, unspecified as acute or chronic, without hemorrhage or perforation, K26.1 — Acute duodenal ulcer with perforation, K26.3 — Acute duodenal ulcer without hemorrhage or perforation, K26.5 — Chronic or unspecified duodenal ulcer with perforation, K26.7 — Chronic duodenal ulcer without hemorrhage or perforation, K26.9 — Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, K27.1 — Acute peptic ulcer, site unspecified, with perforation, K27.3 — Acute peptic ulcer, site unspecified, without hemorrhage or perforation, K27.5 — Chronic or unspecified peptic ulcer, site unspecified, with perforation, K27.7 — Chronic peptic ulcer, site unspecified, without hemorrhage or perforation, K28.1 — Acute gastrojejunal ulcer with perforation, K28.3 — Acute gastrojejunal ulcer without hemorrhage or perforation, K28.5 — Chronic or unspecified gastrojejunal ulcer with perforation, K28.7 — Chronic gastrojejunal ulcer without hemorrhage or perforation, K28.9 — Gastrojejunal ulcer, unspecified as acute or chronic, without hemorrhage or perforation

Same Index main term, other category

The ICD-10-CM Index to Diseases and Injuries files this code under the main term “Lesion”; these codes share that main term but sit in a different category of the Tabular List.

K02.51 — Dental caries on pit and fissure surface limited to enamel (white spot, chewing surface), K02.61 — Dental caries on smooth surface limited to enamel (white spot, smooth surface), K05.5 — Other periodontal diseases (combined periodontic - endodontic), K06.2 — Gingival and edentulous alveolar ridge lesions associated with trauma (gingiva, associated with trauma), K08.9 — Disorder of teeth and supporting structures, unspecified (tooth, teeth), K11.8 — Other diseases of salivary glands (salivary gland, benign lymphoepithelial), K11.9 — Disease of salivary gland, unspecified (salivary gland), K13.0 — Diseases of lips (lip), K13.70 — Unspecified lesions of oral mucosa (oral mucosa), K13.79 — Other lesions of oral mucosa (mouth), K31.9 — Disease of stomach and duodenum, unspecified (cardia), K62.9 — Disease of anus and rectum, unspecified (anorectal), K63.9 — Disease of intestine, unspecified (ileum), K76.9 — Liver disease, unspecified (liver), L08.0 — Pyoderma (skin, suppurative), L81.9 — Disorder of pigmentation, unspecified (pigment, pigmented), L94.1 — Linear scleroderma (en coup de sabre), L98.9 — Disorder of the skin and subcutaneous tissue, unspecified (skin), M53.3 — Sacrococcygeal disorders, not elsewhere classified (sacroiliac), M75.8 — Other shoulder lesions (shoulder, specified NEC), +78 more

Lab tests where this diagnosis supports Medicare coverage (NCD)

Medicare's National Coverage Determination (NCD) program lists this diagnosis as medical justification for these lab tests.

Fecal Occult Blood Test (FOBT), Iron Panel, Partial Thromboplastin Time (PTT) Test, Prothrombin Time Test and INR (PT/INR)

Contextual Map

Every relationship of K27.9 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Run K27.9 with these 4 related codes in Claim Check

Hierarchy

Referenced by Excludes1 notes

  • K25 — Gastric ulcer[Excludes1](via K27.-): “peptic ulcer NOS (K27.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
  • K26 — Duodenal ulcer[Excludes1](via K27.-): “peptic ulcer NOS (K27.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
  • K63.3 — Ulcer of intestine[Excludes1](via K27.-): “peptic ulcer, site unspecified (K27.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
  • K92.2 — Gastrointestinal hemorrhage, unspecified[Excludes1](via K27.-): “peptic ulcer with hemorrhage (K25-K28)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026

Clinical classification (CCSR)

MS-DRG Grouper

MDC crossing

  • MDC 06 — Diseases and Disorders of the Digestive System[MDC crossing]: “Diseases and Disorders of the Digestive System — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 5,744 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2026

Index entries

  • Lesion (s) (nontraumatic), peptic[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Ulcer, ulcerated, ulcerating, ulceration, ulcerative, peptic (site unspecified)[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026

Nearest codes (9)

Change history

  • FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data
CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
Coding guidelines Official source data
ICD-10-CM Official Guidelines for Coding and Reporting (FY2026), quoted by section Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
Inpatient payment groups Official source data
CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43 Release, file and checksum · Publisher’s page
Change history and date-of-service validity Official source data
CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
Comparisons, relationships and the contextual map MedCoder structured relationship
Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Summary and FAQ answers MedCoder explanation
Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates

Cite this page

Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.

MedCoder.ai. "K27.9 — Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/k27.9-peptic-ulcer-site-unspecified-unspecified-as-acute-or-chronic-without-hemorrhage-or-perforation

Change history

  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation

No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), and none are recorded for this code. Note changes are tracked from FY2027 only.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to K27.9 in its code family, with their registry titles.

View all codes in the K27 family