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Compare/K94.0 vs T85.695A

K94.0 vs T85.695A

K94.0 (Colostomy complications) compared with T85.695A (Other mechanical complication of other nervous system device, implant or graft, initial encounter), 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. T85.695A carries an Excludes2 note covering K94.0: “colostomy malfunction (K94.0-)”

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

Yes, when both are documented. T85.695A carries an Excludes2 note covering K94.0: “ostomy complications (J95.0-, K94.-, N99.5-)”

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

Side by side

K94.0Colostomy complicationsT85.695AOther mechanical complication of other nervous system device, implant or graft, initial encounter
Billing statusNon-billable header

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

Billable
ClassificationK00-K95 — Diseases of the Digestive System (K00-K95)S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
DefinitionColostomy complications is a non-billable ICD-10-CM category code (K94.0).Other mechanical complication of other nervous system device, implant or graft, initial encounter is a billable ICD-10-CM diagnosis code (T85.695A).
7th characterThe appropriate 7th character is to be added to each code from category T85
Includes
Other mechanical complication of intrathecal infusion pump
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