2025 ICD-10-CM code K95.8
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of the digestive system - Other diseases of the digestive system Diseases of the digestive system (K00-K95) Feed
Complications of other bariatric procedures.
Medical necessity is established by the presence of a documented complication following a bariatric procedure. This complication requires diagnostic testing, treatment, and/or prolonged hospital stay, indicating a departure from the expected postoperative course.
The clinical responsibility lies with the surgeon or gastroenterologist who performed the bariatric procedure and manages any postoperative complications. This would involve diagnosing the complication, determining the appropriate treatment plan, and providing ongoing care.
In simple words: This code is for problems that happen after weight-loss surgery (other than gastric banding).The doctor will use extra codes to explain exactly what went wrong.
This code captures complications arising from bariatric procedures other than gastric banding.It encompasses a broad range of potential issues, requiring further specification using additional codes where possible to indicate the precise nature of the complication (e.g., infection, hemorrhage, fistula).Excludes complications specifically related to gastric banding (K95.0-).
Example 1: A patient undergoes a sleeve gastrectomy.Postoperatively, they develop a leak at the surgical anastomosis, requiring reoperation and prolonged hospitalization.Code K95.8 would be used to capture this complication. An additional code would describe the leak (e.g., anastomotic leak)., A patient experiences an infection at the surgical site following Roux-en-Y gastric bypass. The infection requires intravenous antibiotics and incision and drainage. Code K95.8 is used, along with additional codes for the specific type of infection and organism (if identified)., Following a biliopancreatic diversion with duodenal switch, a patient develops malnutrition and vitamin deficiencies requiring specialized nutritional support and supplementation. Code K95.8 would be applied along with codes for the specific nutritional deficiencies.
Complete operative report detailing the procedure, any intraoperative complications, and postoperative care.Progress notes documenting the development of the complication, diagnostic testing (e.g., imaging, labs), and treatment provided.Any pathology reports or microbiology results.
** This code is for complications occurring after bariatric procedures excluding gastric banding.Always ensure proper documentation to support the use of this code.Consult current ICD-10-CM coding guidelines for the most up-to-date information.
- Payment Status: Active
- Specialties:Surgery, Gastroenterology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center