We have some debate going on in which the patient had Perforated distal gastric ulcer. 43840 with 49020-59

"signs of fibrinous exudate and likely a perforated ulcer………….. source was the perforated ulcer in distal stomach. About a 3mm perforation was seen. There was not much peritoneal contamination present other than local inflammation and fibrinous exudate"

43840 contains "The perforation is sutured closed and the peritoneal cavity is irrigated and suctioned to remove contamination"

Please help me with this debate