2025 ICD-10-CM code K94
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of the digestive system - Other diseases of the digestive system Diseases of the digestive system Feed
Complications of artificial openings of the digestive system.
Modifiers may be applicable to further clarify the circumstances surrounding the complication, such as the location of service or the type of procedure performed.Consult the official guidelines for modifier usage.
Medical necessity for procedures related to complications of artificial openings in the digestive system is established by the presence of a clinically significant complication threatening the patient's health or well-being. Documentation must support the diagnosis, the severity of the complication, and the need for the intervention provided.
The clinical responsibility for managing complications of artificial openings in the digestive system falls upon the gastroenterologist or surgeon, depending on the nature of the complication and the patient's condition. This includes diagnosis, treatment, and post-operative care.Close collaboration with other specialists, such as infectious disease specialists or critical care physicians, may be needed depending on the severity of the complication.
In simple words: This code is used when there are problems with a surgically made opening in the digestive system, such as a colostomy, enterostomy, or gastrostomy. Problems could include bleeding, infection, or the opening not working properly.
This ICD-10-CM code encompasses complications arising from surgically created openings (ostomies) in the digestive system, including colostomies, enterostomies, and gastrostomies.Complications may involve hemorrhage, infection, malfunction, or other specified issues.Further specification using additional codes might be necessary to clarify the type and nature of the complication.
Example 1: A patient with a colostomy develops a severe infection at the stoma site, requiring intravenous antibiotics and surgical debridement.This would be coded as K94.0 (Colostomy complications) with additional codes to specify the infection., A patient with a newly placed enterostomy experiences significant bleeding from the stoma. This necessitates immediate intervention and hemostasis, requiring coding under K94.1 (Enterostomy complications) with further specification for hemorrhage., A patient with a long-standing gastrostomy tube experiences tube malfunction, resulting in the inability to deliver nutrition. This requires evaluation, potential replacement of the tube, and adjustment of feeding protocols.This would be coded as K94.2 (Gastrostomy complications) with additional codes for malfunction.
Detailed documentation is crucial, including the type of ostomy (colostomy, enterostomy, gastrostomy), the date of ostomy creation, the presence of any previous complications, the specific complication encountered (e.g., infection type, bleeding severity), interventions performed (surgical or medical), and the patient's response to treatment.Laboratory results and imaging studies (if performed) should also be documented.
** This code is primarily used for complications that arise after the initial surgical procedure for creating the artificial opening.Complications related to the initial creation of the ostomy would typically be coded using separate procedure codes.
- Payment Status: Active
- Specialties:Gastroenterology, Surgery, Infectious Disease
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center, Office