K94.20 Gastrostomy complication, unspecified

Billable ICD-10-CM code, FY2026.

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)

• 536.40 Gastrostomy complication, unspecified

Code annotations containing back-references to K94.20

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 K94.20

• Complication (s) (from) (of) › gastrostomy (stoma)

Nearby codes

• K94.11 Enterostomy hemorrhage
• K94.12 Enterostomy infection
• K94.13 Enterostomy malfunction
• K94.19 Other complications of enterostomy
• K94.2 Gastrostomy complications
• K94.20 Gastrostomy complication, unspecified (this code)
• K94.21 Gastrostomy hemorrhage
• K94.22 Gastrostomy infection
• K94.23 Gastrostomy malfunction
• K94.29 Other complications of gastrostomy
• K94.3 Esophagostomy complications