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2025 ICD-10-CM code K95.81

Infection due to other bariatric procedure. Use additional code to specify type of infection or organism.

Code K95.81 should be used as a secondary code to the code describing the specific infection. Use additional codes to identify the infectious agent if known (B95-B97). Do not use this code for complications of gastric band procedures (K95.0-).

Medical necessity is established by the presence of an infection clearly related to a prior bariatric surgical procedure. This may include surgical site infections, intra-abdominal infections, or systemic infections resulting from the procedure.

The clinician is responsible for identifying and documenting the specific infection, the causative organism if known, and the relationship to the bariatric procedure.

In simple words: This code signifies an infection following a weight-loss surgery procedure other than gastric banding.

Infection due to other bariatric 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 develops a wound infection at the incision site following a sleeve gastrectomy., A patient presents with peritonitis several days after a Roux-en-Y gastric bypass., A patient develops a deep abscess following a duodenal switch procedure.

Documentation should include the type of infection, location of infection, causative organism (if known), and evidence linking the infection to the bariatric procedure.Additional codes should be used to specify the type of infection and causative organism.

** Excludes1: complications of gastric band surgery (K95.0-)

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