2025 ICD-10-CM code K94.1
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Digestive System Disorders - Other diseases of the digestive system Diseases of the digestive system Feed
Enterostomy complications.
Medical necessity for the treatment of enterostomy complications is established by the presence of symptoms that impair the patient’s quality of life or pose a risk to their health.This would include symptoms such as severe pain, infection, bleeding, dehydration, and malnutrition.
The clinical responsibility for managing enterostomy complications falls on the surgeon who performed the initial procedure or a gastroenterologist, depending on the nature and severity of the complication.It might involve a multidisciplinary approach, including nurses specializing in ostomy care.
In simple words: This code is for problems that happen after surgery creates an opening in the intestines.Problems like blockage, infection, or leakage from the opening are examples.
This ICD-10-CM code classifies complications arising from an enterostomy, a surgically created opening in the intestinal wall.These complications can include, but are not limited to, obstruction, infection, leakage, bleeding, stenosis, or prolapse of the stoma.
Example 1: A patient presents with abdominal pain, distension, and nausea following an ileostomy creation three weeks prior.Examination reveals obstruction at the stoma site. This would be coded as K94.1., A patient with a colostomy develops a perianal infection and cellulitis.The infection originates from the stoma site. This would be coded as K94.1., A patient experiences recurrent bleeding from their jejunostomy site, requiring intervention and further management. This is coded under K94.1.
Detailed history of the enterostomy procedure, including date and type of surgery;documentation of the complication, including signs, symptoms, and physical examination findings; laboratory results, imaging studies (e.g., abdominal X-ray, CT scan), and any surgical or procedural interventions to address the complication.
** Accurate coding of K94.1 requires precise documentation to specify the nature and severity of the complication. The coder should carefully review the medical record to ensure accurate classification.
- Payment Status: Active
- Specialties:General Surgery, Gastroenterology, Colorectal Surgery
- Place of Service:Inpatient Hospital, Outpatient Hospital, Physician's Office, Ambulatory Surgical Center