K94.20

Billable

Gastrostomy complication, unspecified

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

A complication related to a gastrostomy (feeding tube opening in the stomach) where the specific type of problem is not identified.

Coding Tips

•This is an unspecified code; attempt to obtain clarification on the specific complication type from the provider
•Review the clinical documentation for signs of infection, bleeding, malfunction, or other complications to assign a more specific code

Clinical Significance

Unspecified gastrostomy complications represent problems with feeding tubes placed through the stomach wall that require ongoing monitoring and management. These complications can significantly impact nutritional delivery and may require tube replacement or surgical intervention.

Documentation Requirements

✓Presence of gastrostomy tube documented
✓Evidence of complication affecting the gastrostomy
✓Clinical presentation of the problem
✓Impact on feeding and nutritional status
✓Treatment interventions attempted
✓Assessment of tube function and position
✓Documentation of why complication type is unspecified
✓Patient tolerance and feeding status

Commonly Confused Codes

K94.21-K94.29 — More specific gastrostomy complications should be used when known K94.00-K94.19 — Ostomy complications for bowel stomas rather than feeding tubes Z93.1 — Gastrostomy status without complications T85.9XXA — Mechanical complication of feeding tube

Code Hierarchy

└K94Complications of artificial openings of the digestive system └K94.2Gastrostomy complications └K94.20Gastrostomy complication, unspecified

└K94.20Gastrostomy complication, unspecified