2026 ICD-10-CM Diagnosis Code K94.10Enterostomy complication, unspecified

ICD-10-CM Codes›K00–K95›K90-K95›K94

ICD-10-CM K94.10
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

K94.10 is a billable ICD-10-CM diagnosis code for enterostomy complication, unspecified. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 393 through 395. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Postprocedural or postoperative digestive system complication.

Code Identity

ICD-10-CM Code
K94.10
Billable Status
Yes — Valid for Submission
Code Describes
Enterostomy complication, unspecified
Short Description
Enterostomy complication, unspecified
Same as the full description in the CMS dataset.
Parent Code
K94.1
Enterostomy complications

Code Classification

ChapterK00–K95Diseases of the digestive system
SectionK90-K95Other diseases of the digestive system
CategoryK94Complications of artificial openings of the digestive system
This CodeK94.10Enterostomy complication, unspecified

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Complication(s) (from) (of)
      • enterostomy (stoma)

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR DIG024
Postprocedural or postoperative digestive system complication
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

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.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert K94.10 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
569.60 Colstomy/enter comp NOS
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About K94.10Overview

Is K94.10 (Enterostomy complications) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report enterostomy complication, unspecified on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does K94.10 group to?

When enterostomy complication, unspecified is the principal diagnosis on an inpatient stay, it groups to MS-DRG 393, 394, 395, with relative weights from 0.6490 to 1.5993 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of K94.10?

Under the General Equivalence Mappings, enterostomy complication, unspecified converts to ICD-9-CM 569.60 (colstomy/enter comp NOS). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.