2025 ICD-10-CM code K94.0
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of the digestive system - Complications of artificial openings of the digestive system Diseases of the digestive system Feed
Colostomy complications.
Modifiers are not applicable to ICD-10 codes.
Medical necessity would be established by the documentation supporting the diagnosis and treatment of the complication. The documentation should clearly link the complication to the colostomy and demonstrate the need for intervention to address the issue and prevent further harm.
The clinical responsibility for managing colostomy complications would fall on the surgeon who performed the colostomy, the gastroenterologist, or a colorectal surgeon, depending on the nature of the complication and the patient's overall health.
In simple words: This code is for problems that happen after a colostomy (a surgery to create an opening in the large intestine for waste to pass through).Problems could include bleeding, infection, or the colostomy not working properly.
This code encompasses various complications that can arise following the creation of a colostomy, including but not limited to hemorrhage, infection, and malfunction.Further specification may be needed using additional codes to clarify the type of complication (e.g., type of infection).
Example 1: A 65-year-old male patient presents with significant bleeding from his colostomy site two weeks post-surgery.The bleeding is persistent and requires surgical intervention to repair the damaged vessel.K94.01 (Colostomy hemorrhage) would be appropriate., A 72-year-old female patient experiences persistent abdominal pain and fever, with purulent drainage from her colostomy.Cultures reveal a *Staphylococcus aureus* infection. K94.02 (Colostomy infection) would be used, along with a code to specify the type of infection., A 50-year-old patient's colostomy bag repeatedly leaks due to a mechanical problem with the appliance's seal. This is deemed a malfunction requiring adjustments to the ostomy system. K94.03 (Colostomy malfunction) would be the most appropriate code.
Complete medical history, physical examination findings, laboratory results (e.g., complete blood count, cultures), imaging studies (e.g., abdominal x-ray, CT scan), operative reports (if applicable), and any other relevant documentation supporting the diagnosis and management of the colostomy complication.
** Always utilize the most specific code available within the K94.0 subcategory to accurately reflect the specific colostomy complication.Consult the official ICD-10-CM coding manual for the most up-to-date guidelines and coding conventions.This information is current as of December 3, 2024.
- Revenue Code: Revenue codes will vary depending on the specific services rendered and the payer.
- RVU: RVUs are not applicable to ICD-10 codes.RVUs are associated with CPT codes, which describe procedures and services.
- Global Days : Not applicable to ICD-10 codes. Global periods are associated with surgical CPT codes.
- Payment Status: Active
- Modifier TC rule: Not applicable to ICD-10 codes.
- Fee Schedule : Not applicable to ICD-10 codes.
- Specialties:Colorectal surgery, general surgery, gastroenterology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office