K94.12 Enterostomy infection

Billable ICD-10-CM code, FY2026. Acts as a Complication or Comorbidity (CC) as a secondary diagnosis.

Use additional code

• code to specify type of infection, such as:
• cellulitis of abdominal wall (L03.311)
• sepsis (A40.-, A41.-)

Risk adjustment (HCC)

• CMS-HCC V28: HCC 463 — Artificial Openings for Feeding or Elimination
• CMS-HCC V22: HCC 188 — Artificial Openings for Feeding or Elimination
• ESRD V24: HCC 188

MS-DRG index

Defines the logic of DRG(s) 393-395 in MDC 06.

Approximate ICD-9-CM (GEMs)

• 569.61 Infection of colostomy or enterostomy (approximate)

Code annotations containing back-references to K94.12

Back-references to K94.1

• Type 2 Excludes: K62 Other diseases of anus and rectum ("colostomy and enterostomy malfunction (K94.0-, K94.1-)")

Back-references to K94

• Type 2 Excludes: K91 Intraoperative and postprocedural complications and disorders of digestive system, not elsewhere classified ("complications of artificial opening of digestive system (K94.-)")
• Type 2 Excludes: T81 Complications of procedures, not elsewhere classified ("ostomy complications (J95.0-, K94.-, N99.5-)")
• Type 1 Excludes: Z43 Encounter for attention to artificial openings ("complications of external stoma (J95.0-, K94.-, N99.5-)")
• Type 1 Excludes: Z93 Artificial opening status ("complications of external stoma (J95.0-, K94.-, N99.5-)")

Diagnosis Index entries for K94.12

• Abscess (connective tissue) (embolic) (fistulous) (infective) (metastatic) (multiple) (pernicious) (pyogenic) (septic) › enterostomy
• Abscess (connective tissue) (embolic) (fistulous) (infective) (metastatic) (multiple) (pernicious) (pyogenic) (septic) › ileostomy (bud)
• Complication (s) (from) (of) › enterostomy (stoma) › infection
• Infection, infected, infective (opportunistic) › enterostomy

Nearby codes

• K94.03 Colostomy malfunction
• K94.09 Other complications of colostomy
• K94.1 Enterostomy complications
• K94.10 Enterostomy complication, unspecified
• K94.11 Enterostomy hemorrhage
• K94.12 Enterostomy infection (this code)
• K94.13 Enterostomy malfunction
• K94.19 Other complications of enterostomy
• K94.2 Gastrostomy complications
• K94.20 Gastrostomy complication, unspecified
• K94.21 Gastrostomy hemorrhage