2025 ICD-10-CM code K95.89
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Other diseases of the digestive system - Complications of bariatric procedures Diseases of the digestive system (K00-K95) Feed
Other complications of other bariatric procedures.
Medical necessity for coding K95.89 is established when a patient experiences a complication following a bariatric procedure that requires additional medical intervention. This may involve additional surgery, medication, hospitalization, or intensive monitoring.The documentation should clearly demonstrate a direct causal relationship between the complication and the bariatric procedure.
The clinical responsibility encompasses the diagnosis and management of complications arising from bariatric procedures, such as postoperative infections, bleeding, or other adverse events.The physician's role involves evaluating the patient, ordering tests, administering treatment, and coordinating care with other specialists as needed.
- Diseases of the digestive system (K00-K95)
- K95.89 falls under the broader category of K95 - Complications of bariatric procedures, which itself is part of Chapter 11: Diseases of the digestive system.
In simple words: This code is used when a patient has problems after weight-loss surgery (other than gastric banding), and the specific problem isn't listed elsewhere.The doctor will use another code to describe the exact problem.
This code classifies other complications that may arise following any bariatric procedure, excluding those specifically related to gastric banding.It necessitates the use of an additional code to further specify the exact complication experienced by the patient.
Example 1: A 45-year-old female patient underwent a Roux-en-Y gastric bypass procedure six weeks ago.She presents with persistent abdominal pain, fever, and elevated white blood cell count.The diagnosis is a postoperative intra-abdominal abscess., A 52-year-old male patient had a sleeve gastrectomy two months prior.He complains of significant nausea and vomiting along with recurrent gastroesophageal reflux disease (GERD).Endoscopy confirms anastomotic stricture., A 60-year-old female patient who underwent adjustable gastric banding four years ago now exhibits significant weight regain and worsening symptoms of GERD.The patient requires a revisionary procedure.
Detailed operative notes from the initial bariatric procedure, complete physical examination findings including vital signs, laboratory results such as complete blood count (CBC), inflammatory markers (CRP, ESR), imaging studies (abdominal CT scan, ultrasound), endoscopy reports (if performed), and any other relevant medical records to support the diagnosis and justify the medical necessity for treatment.
** This code is intended for complications arising after any bariatric procedure besides gastric banding.Always ensure complete and accurate documentation to support the reported code.
- Payment Status: Active
- Specialties:Bariatric surgery, general surgery, gastroenterology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center, Office