ICD-10-CM Code K94.03

Colostomy malfunction

Version 2020 Billable Code

Valid for Submission

K94.03 is a billable code used to specify a medical diagnosis of colostomy malfunction. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code K94.03 might also be used to specify conditions or terms like colostomy and enterostomy malfunction, colostomy malfunction, colostomy stenosis, complication of colostomy, mechanical complication of colostomy, stenosis of stoma, etc

ICD-10:K94.03
Short Description:Colostomy malfunction
Long Description:Colostomy malfunction

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code K94.03:

Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Mechanical complication of colostomy

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code K94.03 are found in the index:


Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Colostomy and enterostomy malfunction
  • Colostomy malfunction
  • Colostomy stenosis
  • Complication of colostomy
  • Mechanical complication of colostomy
  • Stenosis of stoma

Diagnostic Related Groups

The ICD-10 code K94.03 is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2020 through 09/30/2020.

  • 393 - OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC
  • 394 - OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC
  • 395 - OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC

Convert K94.03 to ICD-9

  • 569.62 - Colosty/enter comp-mech (Approximate Flag)

Code Classification

  • Diseases of the digestive system (K00–K93)
    • Other diseases of the digestive system (K90-K95)
      • Complications of artificial openings of the digestive system (K94)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


Ostomy

An ostomy is surgery to create an opening (stoma) from an area inside the body to the outside. It treats certain diseases of the digestive or urinary systems. It can be permanent, when an organ must be removed. It can be temporary, when the organ needs time to heal. The organ could be the small intestine, colon, rectum, or bladder. With an ostomy, there must be a new way for wastes to leave the body.

There are many different types of ostomy. Some examples are

  • Ileostomy - the bottom of the small intestine (ileum) is attached to the stoma. This bypasses the colon, rectum and anus.
  • Colostomy - the colon is attached to the stoma. This bypasses the rectum and the anus.
  • Urostomy - the tubes that carry urine to the bladder are attached to the stoma. This bypasses the bladder.

NIH: National Institute of Diabetes and Digestive and Kidney Diseases


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