MCMCB Pro
K25

K25Gastric ulcer

Non-billable headerICD-10-CM

K25 is a non-billable header ICD-10-CM code for gastric ulcer. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

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

Use additional code

Add a secondary code to capture the detail described below.

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

Includes

Conditions this code covers.

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

Other codes that can never be billed with K25

These codes carry an Excludes1 note pointing at K25. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading K25 alone.

  • K29.0Acute gastritis
  • K92.2Gastrointestinal hemorrhage, unspecified

Risk adjustment

K25 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead K25

9 child codes. Green means billable.

Questions about K25

Is K25 a billable ICD-10-CM code?
No. K25 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does K25 sit in the tabular list?
Diseases of the digestive system (K00-K95), in the block Diseases of esophagus, stomach and duodenum (K20-K31).
What cannot be coded together with K25?
K25 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.