2027 ICD-10-CM Diagnosis Code K95.01Infection due to gastric band procedure
ICD-10-CM Codes›K00–K95›K90-K95›K95
- Billable — Valid for Submission
- CC — Complication or Comorbidity
- Not Chronic
K95.01 is a billable ICD-10-CM diagnosis code for infection due to gastric band procedure. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 393 through 395. As a secondary diagnosis, it counts as a complication or comorbidity (CC) and moves an inpatient stay to a higher severity level within its MS-DRG family. It does not count, however, when the principal diagnosis is one of 70 closely related codes. Coders also document this condition as complication following bariatric surgery. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Postprocedural or postoperative digestive system complication.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Complication following bariatric surgery
- Gastric band procedure complication
- Infection due to bariatric procedure
- Infection due to gastric band procedure
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to K95.01: its own notes plus those printed at Chapter 11. A note printed at a category, block or chapter applies to every code under it.
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
Use Additional Code
Add a second code, after this one, to fully describe the condition.
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name K95.01, its category, or a range that includes it.
Excludes1 1
These codes carry an Excludes1 note naming K95.01: they are not reported together with it, unless the two conditions are unrelated.
Excludes2 1
These codes carry an Excludes2 note naming K95.01: its condition is not part of those codes, and both may be reported when the patient has both.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
After Surgery
After any operation, you'll have some side effects. There is usually some pain with surgery. There may also be swelling and soreness around the area that the surgeon cut. Your surgeon can tell you which side effects to expect.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert K95.01 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About K95.01Overview
What is the ICD-10 code for infection due to gastric band procedure?
The ICD-10-CM code for infection due to gastric band procedure is K95.01 (sometimes written as K9501). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is K95.01 (Complications of gastric band procedure) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report infection due to gastric band procedure on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does K95.01 group to?
When infection due to gastric band procedure is the principal diagnosis on an inpatient stay, it groups to MS-DRG 394, 395, 393, with relative weights from 0.6379 to 1.5877 depending on complications. Higher weights mean higher Medicare reimbursement.
Is K95.01 a CC or MCC?
CMS lists K95.01 as a CC (complication or comorbidity) for FY 2027. Reported as a secondary diagnosis, it moves the inpatient stay to a higher-weighted DRG within its severity family. It does not count when the principal diagnosis is one of the 70 closely related codes in its exclusion list.
Does K95.01 need an additional code?
When the condition applies, yes. The Use Additional Code note reads: code to specify type of infection or organism, such as: bacterial and viral infectious agents (B95.-, B96.-); cellulitis of abdominal wall (L03.311); sepsis (A40.-, A41.-). The additional code is reported after K95.01.
