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2025 ICD-10-CM code K94.29

Other complications of a gastrostomy.

Adhere to official ICD-10-CM coding guidelines and conventions for accurate assignment of this code.Use the most specific code possible whenever appropriate.If multiple complications exist, assign separate codes for each, as appropriate.

Medical necessity for K94.29 is established by the presence of a documented gastrostomy complication(s) that requires medical intervention.This should be supported by relevant clinical findings and the need for treatment to improve patient outcomes.

The clinical responsibility for this code rests with the physician or other qualified healthcare professional managing the patient's gastrostomy and its related complications.This includes diagnosis, treatment, and ongoing monitoring of the gastrostomy site and function.

IMPORTANT K94.20 (Gastrostomy complication, unspecified), K94.21 (Gastrostomy hemorrhage), K94.22 (Gastrostomy infection), K94.23 (Gastrostomy malfunction).ICD-9-CM crosswalks include 536.49 (Other gastrostomy complications).

In simple words: This code is for problems that happen after a doctor makes a hole in your stomach for a feeding tube.It covers problems not specifically listed elsewhere, like bleeding, infection, or the tube not working correctly.

This code signifies complications arising from a gastrostomy (surgical opening into the stomach) that are not otherwise specified.These complications could include, but aren't limited to, issues such as bleeding, infection, malfunction of the tube, or other unspecified problems related to the gastrostomy.

Example 1: A patient with a gastrostomy tube experiences unexpected bleeding from the insertion site.The physician diagnoses gastrostomy hemorrhage (K94.21) and performs local hemostasis. However, additional complications arise leading to the use of K94.29., A patient develops a localized infection at the gastrostomy site, requiring antibiotic therapy and wound care.Despite treatment, additional complications occur, necessitating further intervention and the assignment of K94.29., A patient's gastrostomy tube malfunctions, repeatedly becoming dislodged or blocked, requiring frequent adjustments and interventions by the healthcare team. This leads to complications not specifically categorized under other K94.2x codes, thus justifying the use of K94.29.

Detailed clinical notes describing the nature and extent of the gastrostomy complication(s).This should include the date of gastrostomy placement, detailed description of the complication, imaging reports (if applicable), laboratory results (e.g., blood cultures if infection is present), and treatment rendered.

** K94.29 should be used cautiously and only when other more specific codes (K94.20-K94.23) are not applicable.Always ensure the documentation clearly supports the diagnosis and justifies the choice of this code.

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