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Compare/K94 vs T80

K94 vs T80

K94 (Complications of artificial openings of the digestive system) compared with T80 (Complications following infusion, transfusion and therapeutic injection), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Can these codes be reported together?

Yes, when both are documented. T80 carries an Excludes2 note covering K94: “ostomy complications (J95.0-, K94.-, N99.5-)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

K94Complications of artificial openings of the digestive systemT80Complications following infusion, transfusion and therapeutic injection
Billing statusNon-billable header

Report instead: K94.00, K94.01, K94.02, K94.03, K94.09

Non-billable header

Report instead: T80.0XXA, T80.0XXD, T80.0XXS, T80.1XXA, T80.1XXD

ClassificationK00-K95 — Diseases of the Digestive System (K00-K95)S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
DefinitionComplications of artificial openings of the digestive system is a non-billable ICD-10-CM category code (K94).Complications following infusion, transfusion and therapeutic injection is a non-billable ICD-10-CM category code (T80).
7th characterThe appropriate 7th character is to be added to each code from category T80
Includes
complications following perfusion
Use additional code
code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
code(s) to identify the specified condition resulting from the complication
code to identify devices involved and details of circumstances (Y62-Y82)

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources