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2025 ICD-10-CM code K95.01

Infection due to gastric band procedure.

Code K95.01 should be used as a secondary code to the specific infection code.If the infection is not further specified, the unspecified organism codes (e.g. B96.8, B96.9) may be appropriate.It is crucial to ensure accurate and thorough documentation of the infection type to support the medical necessity of the treatment provided.

Medical necessity for the treatment of the infection is established by the presence of clinical signs and symptoms of infection, such as fever, pain, swelling, redness, or purulent drainage at the gastric band site.Supporting laboratory and/or imaging findings may further strengthen the justification for treatment.

The physician is responsible for diagnosing and treating the infection, which may include ordering cultures to identify the infectious agent, prescribing antibiotics or other antimicrobial medications, and potentially draining the infected area.Close monitoring of the patient's condition is essential.

IMPORTANT:Use additional codes to specify the type of infection or organism, such as:* Bacterial and viral infectious agents (B95.-, B96.-)* Cellulitis of abdominal wall (L03.311)* Sepsis (A40.-, A41.-)

In simple words: This code indicates an infection that has developed as a complication of a gastric band procedure used for weight loss.

Infection due to gastric band procedure. Use additional code to specify type of infection or organism, such as: bacterial and viral infectious agents (B95.-, B96.-) cellulitis of abdominal wall (L03.311) sepsis (A40.-, A41.-)

Example 1: A patient presents with fever, localized pain, and redness around the site of their adjustable gastric band placement.After examination and laboratory tests, the physician diagnoses a localized infection at the surgical site., A patient experiences persistent abdominal pain and fever several weeks after gastric band surgery. Imaging reveals an abscess near the band, requiring drainage and antibiotic treatment., A patient with a history of gastric banding presents with signs of systemic infection (e.g., sepsis).Blood cultures identify a bacterial infection originating from the gastric band site.

Documentation should include the following:* Detailed history and physical exam findings* Laboratory results (e.g., cultures, complete blood count)* Imaging findings, if applicable* Treatment plan, including antibiotics or other interventions

  • Payment Status: Active
  • Specialties:General surgery, bariatric surgery, infectious disease
  • Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Office
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