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 CodesChapter 11: Diseases of the digestive systemK95

K95

Non-billable

Complications of bariatric procedures

Chapter 11:Diseases of the digestive system

BILLABLE STATUSNo
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 K95 is a used to indicate a diagnosis of complications of bariatric procedures.

Key Diagnostic Point:

The ICD-10 Level 1 Category code K95 encompasses complications arising from bariatric procedures, which are surgical interventions aimed at weight loss. This category includes a variety of conditions such as nutritional deficiencies, surgical site infections, and complications related to the anatomy of the gastrointestinal tract post-surgery. The clinical significance of K95 lies in its ability to capture the adverse effects that may occur after bariatric surgery, which can impact patient outcomes and require additional medical intervention. Understanding these complications is crucial for healthcare providers to ensure comprehensive patient care and to mitigate risks associated with these procedures.

  • In clinical practice, K95 codes are essential for accurately documenting complications that arise after bariatric surgery. These codes help in tracking patient outcomes, guiding treatment decisions, and facilitating appropriate reimbursement for services rendered. Usage guidelines for K95 codes emphasize the importance of thorough documentation to support the diagnosis of complications, ensuring that the coding reflects the patient's condition accurately and comprehensively. Proper coding not only aids in individual patient management but also contributes to broader healthcare data that can inform future surgical practices and patient safety measures.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of complications
  • Need for precise documentation
  • Potential for overlapping codes

Audit Risk Factors

  • Inadequate documentation
  • Misclassification of complications
  • Failure to report all relevant complications

Specialty Focus

Medical Specialties

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

Nutrition

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 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

The clinical and administrative impact of the K95 code category is significant, as it directly influences patient safety and quality of care in bariatric surgery. By accurately coding complications, healthcare providers can identify trends in patient outcomes, which can lead to improved surgical techniques and postoperative care protocols. This data is essential for quality measures and can inform healthcare policies aimed at enhancing patient safety and reducing the incidence of complications associated with bariatric procedures.
From an administrative perspective, the accurate use of K95 codes is crucial for reimbursement and financial planning within healthcare organizations. Tracking complications allows for better resource allocation and can highlight areas where additional training or support may be needed for surgical teams. Furthermore, as healthcare trends shift towards value-based care, understanding the implications of complications in bariatric surgery will be vital for maintaining high standards of patient care and achieving favorable outcomes.

ICD-9 vs ICD-10

The clinical and administrative impact of the K95 code category is significant, as it directly influences patient safety and quality of care in bariatric surgery. By accurately coding complications, healthcare providers can identify trends in patient outcomes, which can lead to improved surgical techniques and postoperative care protocols. This data is essential for quality measures and can inform healthcare policies aimed at enhancing patient safety and reducing the incidence of complications associated with bariatric procedures. From an administrative perspective, the accurate use of K95 codes is crucial for reimbursement and financial planning within healthcare organizations. Tracking complications allows for better resource allocation and can highlight areas where additional training or support may be needed for surgical teams. Furthermore, as healthcare trends shift towards value-based care, understanding the implications of complications in bariatric surgery will be vital for maintaining high standards of patient care and achieving favorable outcomes.

Reimbursement & Billing Impact

reimbursement and financial planning within healthcare organizations. Tracking complications allows for better resource allocation and can highlight areas where additional training or support may be needed for surgical teams. Furthermore, as healthcare trends shift towards value-based care, understanding the implications of complications in bariatric surgery will be vital for maintaining high standards of patient care and achieving favorable outcomes.

Resources

Clinical References

  • •
    Official ICD-10 Guidelines for K95

Coding & Billing References

  • •
    Official ICD-10 Guidelines for K95

Frequently Asked Questions

What conditions are included in K95?

K95 includes complications such as nutritional deficiencies, surgical site infections, anastomotic leaks, and other adverse effects that may occur following bariatric surgery.

When should I use K95 codes?

K95 codes should be used when a patient experiences complications directly related to bariatric surgery, and these complications are documented in the patient's medical record.

What documentation is required for K95?

Documentation should include detailed clinical notes describing the complication, the treatment provided, and any relevant diagnostic tests that support the diagnosis of the complication.