Valid for Submission
K94.20 is a billable diagnosis code used to specify a medical diagnosis of gastrostomy complication, unspecified. The code K94.20 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The ICD-10-CM code K94.20 might also be used to specify conditions or terms like complication of gastrostomy.
Unspecified diagnosis codes like K94.20 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
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 K94.20 are found in the index:
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Complication of gastrostomy
Diagnostic Related Groups - MS-DRG Mapping
|MS-DRG||MS-DRG Title||MCD||Relative Weight|
|393||OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC||06||1.6536|
|394||OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC||06||0.9386|
|395||OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC||06||0.6497|
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.
Convert K94.20 to ICD-9 Code
Information for Patients
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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