ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesK94.32

K94.32

Billable

Esophagostomy infection

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/06/2025

Code Description

ICD-10 K94.32 is a billable code used to indicate a diagnosis of esophagostomy infection.

Key Diagnostic Point:

Esophagostomy infection (K94.32) refers to an infection that occurs at the site of an esophagostomy, a surgical procedure that creates an opening in the esophagus to allow for direct access to the alimentary tract. Clinically, patients may present with symptoms such as fever, localized pain, swelling, and discharge at the stoma site. The anatomy involved includes the esophagus, surrounding tissues, and potentially the mediastinum if the infection spreads. Disease progression can lead to complications such as abscess formation, systemic infection, or sepsis if not promptly addressed. Diagnostic considerations include a thorough clinical examination, imaging studies (such as ultrasound or CT scans), and laboratory tests to identify the causative organisms. Cultures from the stoma site may also be necessary to guide appropriate antibiotic therapy. Early recognition and management are crucial to prevent severe complications associated with esophagostomy infections.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires clinical assessment and possibly imaging.
  • Treatment complexity: May involve antibiotics, wound care, or surgical intervention.
  • Documentation requirements: Detailed clinical notes and follow-up care are essential.
  • Coding specificity: Requires accurate coding to distinguish from other gastrointestinal infections.

Audit Risk Factors

  • Common coding errors: Misclassification of the infection type or site.
  • Documentation gaps: Incomplete clinical notes regarding the infection's severity.
  • Billing challenges: Potential denials if the infection is not well-documented or if it is deemed a complication of care.

Specialty Focus

Medical Specialties

Primary medical specialty: Gastroenterology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Secondary specialty: General Surgery

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related ICD-10 Codes

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Esophagostomy infections can significantly impact patient outcomes, leading to increased morbidity and healthcare utilization. They may result in prolonged hospital stays, additional surgical interventions, and increased healthcare costs. Understanding the epidemiology of such infections is crucial for developing quality measures and improving patient care in populations requiring esophagostomy procedures.

ICD-9 vs ICD-10

Esophagostomy infections can significantly impact patient outcomes, leading to increased morbidity and healthcare utilization. They may result in prolonged hospital stays, additional surgical interventions, and increased healthcare costs. Understanding the epidemiology of such infections is crucial for developing quality measures and improving patient care in populations requiring esophagostomy procedures.

Reimbursement & Billing Impact

Reimbursement considerations include ensuring that the infection is clearly linked to the esophagostomy procedure and that all treatment modalities are documented. Common denials may arise from lack of specificity in the documentation or failure to demonstrate medical necessity for the treatment provided. Best practices include maintaining thorough clinical notes, ensuring accurate coding, and following up on any claims denials promptly.

Resources

Clinical References

  • •
    ICD-10 Official Guidelines for K00-K99
  • •
    Clinical Documentation Requirements

Coding & Billing References

  • •
    ICD-10 Official Guidelines for K00-K99
  • •
    Clinical Documentation Requirements

Frequently Asked Questions

What specific conditions are covered by K94.32?

K94.32 specifically covers infections occurring at the esophagostomy site, which can include cellulitis, abscesses, and other localized infections. It is important to differentiate these from systemic infections or infections at other surgical sites.

When should K94.32 be used instead of related codes?

K94.32 should be used when there is a confirmed infection at the esophagostomy site. If the infection is systemic or involves other gastrointestinal structures, other codes may be more appropriate.

What documentation supports K94.32?

Documentation should include clinical findings such as signs of infection, laboratory results (e.g., cultures), treatment plans, and follow-up notes. Clear evidence of the infection's location and severity is crucial.