2025 ICD-10-CM code K94.22
(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
Gastrostomy infection.Use additional codes to specify the type of infection.
Medical necessity for coding K94.22 is established when a patient with a gastrostomy develops an infection at the site.The infection must be documented clinically, with supporting evidence from physical examination, laboratory tests (cultures), and imaging studies if appropriate.Treatment plans should be medically appropriate and necessary to resolve the infection.
The clinical responsibility for coding K94.22 rests with the physician or healthcare provider who diagnoses and manages the gastrostomy infection.This includes ordering appropriate diagnostic tests (e.g., cultures), prescribing antibiotics, and monitoring the patient's response to treatment.The provider should also ensure appropriate documentation to support the coding choices.
In simple words: This code means there's an infection at the site of a feeding tube placed directly into the stomach.Doctors will use extra codes to describe the exact type of infection.
K94.22, Gastrostomy infection, is an ICD-10-CM code that classifies a post-operative infection at the site of a gastrostomy (a surgically created opening in the stomach).This code should be used in conjunction with additional codes to specify the type of infection present, such as cellulitis of the abdominal wall (L03.311), sepsis (A40.-, A41.-), or other relevant infection codes.The choice of additional codes will depend on the specific infecting organism and the extent of the infection.
Example 1: A 65-year-old male patient with a history of esophageal cancer presents with localized redness, swelling, and purulent drainage at the gastrostomy site. Cultures reveal Staphylococcus aureus.The code K94.22 is used, along with a code for Staphylococcus aureus infection and cellulitis of the abdominal wall., A 70-year-old female patient, post-gastrostomy placement for dysphagia, experiences fever, chills, and hypotension. Blood cultures reveal gram-negative sepsis.K94.22 is coded alongside codes specifying the type of sepsis (e.g., A41.9) and any other related complications., A 55-year-old patient with a gastrostomy tube for nutritional support develops localized erythema and tenderness around the tube insertion site.A superficial infection is suspected.K94.22 is used in conjunction with a code that specifies the type of localized infection.Further investigation might be needed to determine the causative organism.
Detailed documentation is required to support the use of K94.22. This includes:* Detailed description of the location and extent of the infection.* Results of any cultures performed (specifying the organism and sensitivity results).*Physician's notes describing the diagnosis, treatment plan, and response to treatment.* Date of onset of symptoms.* Any associated comorbidities or complications.
** When coding gastrostomy infections, ensure the selection of additional codes accurately reflects the severity and type of infection.Consider also coding any complications arising from the infection.
- Payment Status: Active
- Specialties:Gastroenterology, Surgery, Infectious Disease
- Place of Service:Inpatient Hospital, Outpatient Hospital, Skilled Nursing Facility, Home Health