K94.19

Billable

Other complications of enterostomy

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 complications that occur with an enterostomy (a surgically created opening in the small intestine), such as leakage, stenosis, or prolapse that are not otherwise specified.

Coding Tips

•Use this code only when the specific complication is documented but doesn't fit K94.11, K94.12, or K94.13
•Review documentation carefully to determine if a more specific complication code applies before assigning this unspecified variant

Clinical Significance

Other complications of enterostomy encompass various problems with small bowel stomas not captured by more specific codes, often requiring individualized management. These complications can significantly impact nutritional status and may require multidisciplinary care coordination.

Documentation Requirements

✓Presence of enterostomy documented
✓Specific complication type documented
✓Clinical presentation and impact
✓Effect on stoma function and output
✓Treatment interventions provided
✓Response to management
✓Documentation that complication doesn't fit other specific categories
✓Assessment of nutritional and fluid status

Commonly Confused Codes

K94.11-K94.13 — More specific enterostomy complications should be used when applicable K94.09 — Colostomy complications for large bowel stomas K91.89 — Other postoperative complications when not stoma-specific Z93.4 — Enterostomy status without complications