Start New EnglishEspañol中文РусскийالعربيةTiếng ViệtFrançaisDeutsch한국어Tagalog Library Performance
BETA v.3.0

2025 ICD-10-CM code K95.09

Other complications of gastric band procedure. Use additional code, if applicable, to further specify complication.

Use an additional code to specify the complication. Exclude this code for perinatal conditions (P04-P96), infectious diseases (A00-B99), pregnancy complications (O00-O9A), congenital issues (Q00-Q99), endocrine/metabolic diseases (E00-E88), external cause injuries (S00-T88), neoplasms (C00-D49), or unclassified symptoms (R00-R94).

Modifiers may apply to procedures associated with treating the complications of gastric band placement.

Medical necessity must be established for any treatment related to the complication. This may include documentation of diagnostic testing, imaging results, and the rationale for intervention.

The physician is responsible for diagnosing the specific complication, documenting it clearly, and applying additional codes as needed to fully represent the patient's condition. They are also responsible for ensuring all documentation meets the requirements for medical necessity.

IMPORTANT:If infection is present, use K95.01. For other bariatric procedure complications, use K95.81 (infection) or K95.89 (other). Mechanical complications like breakdown or displacement are coded under T85.5.

In simple words: This code represents complications arising from gastric band procedures, excluding infections. It is used when other specific codes like K95.01 (infection) don't apply.Further codes may be necessary to detail the specific complication.

Other complications of gastric band procedure. Use additional code, if applicable, to further specify complication.

Example 1: A patient with a gastric band experiences persistent nausea and vomiting unrelated to an infection, coded as K95.09 along with R11.1 (Nausea and vomiting)., A patient presents with band slippage or erosion post-gastric band procedure. K95.09 is used, possibly with additional codes to describe the mechanical complication., A patient develops a pouch dilation after gastric band surgery. In this case, K95.09 is applied, and potentially other codes to specify the type of dilation.

Complete documentation should include the type of complication, its severity, associated symptoms, diagnostic tests performed, and treatment provided. If the complication requires further specification, the documentation needs to support the use of any additional codes.

  • Payment Status: Active
  • Specialties:General surgery, bariatric surgery, gastroenterology
  • Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital,Ambulatory Surgical Center, Office
** Only Enterprise users with EHR integration can access case-specific answers. Click here to request access.

Discover what matters.

iFrame™ AI's knowledge is aligned with and limited to the materials uploaded by users and should not be interpreted as medical, legal, or any other form of advice by iFrame™.