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2025 ICD-10-CM code K95.0

Complications of gastric band procedure.

Adhere to the official ICD-10-CM coding guidelines published by the Centers for Medicare & Medicaid Services (CMS).Accurate coding requires detailed documentation and a thorough understanding of the coding conventions and rules.

Modifiers may be applicable depending on the circumstances of the service. For instance, a modifier might be used to specify the place of service or the type of procedure performed to correct the complication.

Medical necessity for treatment of complications of a gastric band procedure is established by the presence of clinically significant symptoms, such as severe pain, infection, obstruction, or erosion, and the need for medical intervention to improve the patient's health status.Documentation must support the medical necessity for any intervention or treatment given.

The clinical responsibility for managing complications of a gastric band procedure typically falls upon the bariatric surgeon who performed the initial procedure. This might involve a multidisciplinary approach including gastroenterologists, dietitians, and other specialists based on the type of complication.

IMPORTANT:K95.01 (Infection due to gastric band procedure), K95.09 (Other complications of gastric band procedure), K95.8 (Complications of other bariatric procedure)

In simple words: This code is used to describe problems that happen after a weight loss surgery where a band is placed around the stomach.

This ICD-10-CM code classifies complications arising from a gastric banding procedure.It encompasses various adverse events that may occur following the placement of an adjustable gastric band for weight loss surgery.These complications can range from minor issues to severe and life-threatening conditions requiring additional interventions.

Example 1: A 45-year-old female patient presents with persistent abdominal pain and nausea three months after undergoing laparoscopic adjustable gastric banding.Imaging reveals band slippage requiring surgical revision.Code K95.0 is assigned., A 50-year-old male patient develops a serious infection at the band insertion site two weeks post-procedure, necessitating intravenous antibiotics and drainage. K95.01 (Infection due to gastric band procedure) is the appropriate code., A 38-year-old female patient experiences recurrent vomiting and weight loss six months following gastric banding.Endoscopy reveals band erosion into the stomach, requiring removal of the band. K95.09 (Other complications of gastric band procedure) is assigned.

Complete medical history, physical examination findings, operative report documenting the initial gastric banding procedure and any subsequent revisions, imaging studies (x-rays, CT scans, endoscopy reports) demonstrating the nature and extent of the complications, laboratory results (blood tests, cultures), and progress notes detailing the treatment and outcome.

** Accurate coding requires detailed clinical documentation specifying the type and severity of complications experienced.The coder should always refer to the most current ICD-10-CM coding guidelines and consult with medical professionals when there is uncertainty about the appropriate code to use.

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