ICD-10 Coding for Feeding Tube Dysfunction(K94.23, K94.22)
Complete ICD-10-CM coding and documentation guide for Feeding Tube Dysfunction. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Feeding Tube Dysfunction
K94.2-K94.29Primary Range
Complications of gastrostomy
This range includes codes specific to complications related to gastrostomy tubes, such as infections and mechanical malfunctions.
Mechanical complications of other specified prosthetic devices, implants and grafts
This code is used for broader mechanical complications of enteral feeding devices not specific to gastrostomy.
Mechanical complication of other internal prosthetic devices, implants and grafts
This code is used for complications related to jejunostomy tubes, not gastrostomy.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| K94.23 | Gastrostomy malfunction | Use when there is a specific mechanical issue with a gastrostomy tube. |
|
| K94.22 | Infection of gastrostomy | Use when there is an infection at the gastrostomy site. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for feeding tube dysfunction
Essential facts and insights about Feeding Tube Dysfunction
Primary ICD-10-CM Codes for feeding tube dysfunction
Decision Criteria
clinical Criteria
- Presence of mechanical failure in a gastrostomy tube
Applicable To
- Blockage
- Displacement
- Leakage
Clinical Validation Requirements
- Imaging confirming tube displacement
- Failed flushing attempts with warm water or enzymes
Code-Specific Risks
- Confusing with jejunostomy tube issues
- Not specifying the type of malfunction
Coding Notes
- Ensure documentation specifies the type of malfunction.
K94.22 - Infection of gastrostomy
Use when there is an infection at the gastrostomy site.
Applicable To
- Infection at gastrostomy site
Excludes
- Mechanical malfunction without infection (K94.23)
Clinical Validation Requirements
- Positive culture from gastrostomy site
- Elevated WBC count
Coding Notes
Document specific infection signs and lab results.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Gastrostomy status
Z93.1Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Mechanical complications of other specified prosthetic devices
K91.2Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Feeding Tube Dysfunction to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K94.23.
Impact
Clinical: May lead to inappropriate treatment., Regulatory: Non-compliance with coding standards., Financial: Potential for claim denials.
Mitigation Strategy
Use specific terms like 'occlusion' or 'displacement'., Include imaging and intervention details.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Misclassification can result in compliance issues., Data Quality: Affects the accuracy of clinical data.
Mitigation Strategy
Verify the type of tube involved and use the correct code.
Impact
Incorrectly coding the type of feeding tube can lead to audit issues.
Mitigation Strategy
Verify tube type in clinical documentation before coding.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Feeding Tube Dysfunction, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Feeding Tube Dysfunction
Use these documentation templates to ensure complete and accurate documentation for Feeding Tube Dysfunction. These templates include all required elements for proper coding and billing.
Gastrostomy Tube Malfunction
Specialty: GastroenterologyRequired Elements
- Tube type and brand
- Specific malfunction description
- Interventions attempted
- Imaging results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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