K91.858

Billable

Other complications of intestinal pouch

HCC Category Mapping

V28HCC 463 — Artificial Openings for Feeding or Elimination

0.233

V24HCC 188 — Artificial Openings for Feeding or Elimination

0.570

ESRDHCC 188 — Artificial Openings for Feeding or Elimination

0.000

What This Code Means

Other problems or complications affecting a surgically created intestinal pouch besides inflammation.

Coding Tips

•Use this code for pouch complications such as strictures, leaks, or dysfunction that don't meet criteria for pouchitis
•Clearly describe the specific complication in the medical record to justify use of this code

Clinical Significance

Other complications of intestinal pouch encompass various non-inflammatory problems that can occur with surgically created pouches, requiring specialized management. These complications can significantly impact pouch function and patient quality of life, often requiring surgical intervention.

Documentation Requirements

✓History of intestinal pouch surgery
✓Specific type of complication documented
✓Clinical presentation of the complication
✓Diagnostic findings confirming the complication
✓Impact on pouch function
✓Treatment interventions required
✓Exclusion of pouchitis (inflammatory component)
✓Functional assessment of the pouch

Commonly Confused Codes

K91.850 — Pouchitis specifically involves inflammation K94.09 — Colostomy complications for different type of stoma K91.89 — Other postoperative complications when not pouch-specific K63.1 — Perforation if pouch perforation occurs

Code Hierarchy

└K91Intraoperative and postprocedural complications and disorders of digestive system, not elsewhere classified └K91.8Other intraoperative and postprocedural complications and disorders of digestive system └K91.85Complications of intestinal pouch └K91.858Other complications of intestinal pouch

└K91.858Other complications of intestinal pouch