Excludes1 pair
K28- vs K92.2
K28 and K92.2 are not coded together. ICD-10-CM declares them mutually exclusive with an Excludes1 note — the two conditions are not expected to occur together, so exactly one of them is normally correct for a given encounter. The Official Guidelines carve out one exception: if the two conditions are clearly unrelated to each other, both may be reported.
The official note, declared on K92.2
peptic ulcer with hemorrhage (K25-K28)
K28
Gastrojejunal ulcer
Not billable
- Chapter 11
- Diseases of the digestive system
- Section
- K20-K31
Use when the record says
- anastomotic ulcer (peptic) or erosion
- gastrocolic ulcer (peptic) or erosion
- gastrointestinal ulcer (peptic) or erosion
- gastrojejunal ulcer (peptic) or erosion
- jejunal ulcer (peptic) or erosion
- marginal ulcer (peptic) or erosion
- stomal ulcer (peptic) or erosion
K92.2
Gastrointestinal hemorrhage, unspecified
BillableUnspecified
- Chapter 11
- Diseases of the digestive system
- Section
- K90-K95
Use when the record says
- Gastric hemorrhage NOS
- Intestinal hemorrhage NOS
Indexed under
- Enterorrhagia
- Gastrorrhagia
- Bleeding › gastrointestinal
- Hemorrhage, hemorrhagic › bowel
- Hemorrhage, hemorrhagic › cecum
Excludes1 is not always absolute: where two conditions covered by the note are genuinely unrelated, CMS guidance permits reporting both. Document the reasoning rather than assuming it. More on Excludes1 vs Excludes2 · FY2027