K94.0 ICD-10-CM Code: Colostomy complications
Compare with another code for K94.0Check this code on a claim
Billing Status: NO. This is a non-billable ICD-10-CM code: report a more specific billable code beneath it.
Not billable · FY2027A non-billable heading in the tabular list: report a more specific code beneath it.
What you need to know
Source: CMS/NCHS Official ICD-10-CM tabular notes, quoted. From the CMS/NCHS tabular list for the release in force. A note the category or block publishes applies to this code too, and is marked with where it comes from.
The tabular list publishes no instructional note for this code itself.
Where it sits Source: CMS/NCHS
Under:Chapter 11: Diseases of the Digestive SystemK90-K95 Other diseases of the digestive systemK94 Complications of artificial openings of the digestive system
Codes under K94.0 (5)
Coder workflow for K94.0
MedCoder structured workflow — derived from this code’s own official record
Before you code K94.0
- K94.0 is not reportable as written. Select the more specific code beneath it that the documentation supports. Codes are reported to the highest level of specificity the classification provides (Guidelines I.B.2).
ReviewK94.00, K94.01, K94.02, K94.03, K94.09
See the relationships section · Guide: How to choose an ICD-10-CM code →
Choose the right path
- Does the documentation support one of the more specific codes beneath K94.0?
Yes → Select that code and continue the checks below on its own page.
No → K94.0 cannot be reported as written. Where the codes beneath it include an unspecified code, that code applies when the record goes no further; otherwise query for the missing detail.
Report the code beneath K94.0 that the documentation supports, not K94.0 itself. Then confirm that code is valid for the date of service on its own page.
Documentation check
- The provider’s diagnostic statement
- Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.
Coding context
Guidelines, coding notes, decision aids, relationships (with MS-DRG and CCSR classification), hierarchy, HCC, coverage and the context map: what a coder reaches for after the core. Each section names whether it is official source data, a MedCoder-derived relationship or MedCoder editorial.
Code Overview
MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Verify Before Coding
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.
Relationships & Classification
MedCoder-derived relationships — computed from published CMS and AHRQ datasets
Other codes that name K94.0 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.
Referenced by 2 Excludes1 notes: Z43 — Encounter for attention to artificial openings (via K94.-), Z93 — Artificial opening status (via K94.-).
These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.
Referenced by 22 Excludes2 notes across 2 chapters: K62 — Other diseases of anus and rectum, K91 — Intraoperative and postprocedural complications and disorders of digestive system, not elsewhere classified (via K94.-), T80 — Complications following infusion, transfusion and therapeutic injection (via K94.-), T80 — Complications following infusion, transfusion and therapeutic injection, T80-T88 — Complications of surgical and medical care, not elsewhere classified (T80-T88) (via K94.-), T80-T88 — Complications of surgical and medical care, not elsewhere classified (T80-T88), T81 — Complications of procedures, not elsewhere classified, T81 — Complications of procedures, not elsewhere classified (via K94.-), T82 — Complications of cardiac and vascular prosthetic devices, implants and grafts (via K94.-), T82 — Complications of cardiac and vascular prosthetic devices, implants and grafts, T83 — Complications of genitourinary prosthetic devices, implants and grafts, T83 — Complications of genitourinary prosthetic devices, implants and grafts (via K94.-), T84 — Complications of internal orthopedic prosthetic devices, implants and grafts, T84 — Complications of internal orthopedic prosthetic devices, implants and grafts (via K94.-), T85 — Complications of other internal prosthetic devices, implants and grafts, T85 — Complications of other internal prosthetic devices, implants and grafts (via K94.-), T86 — Complications of transplanted organs and tissue (via K94.-), T86 — Complications of transplanted organs and tissue, T87 — Complications peculiar to reattachment and amputation (via K94.-), T87 — Complications peculiar to reattachment and amputation, +2 more.
These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.
Contextual Map
Every relationship of K94.0 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Run K94.0 with these 7 related codes in Claim Check
Hierarchy
- K00-K95 — Chapter 11: Diseases of the Digestive System (K00-K95) (K00-K95)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- K90-K95 — Other diseases of the digestive system[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
Referenced by Excludes1 notes
- Z43 — Encounter for attention to artificial openings[Excludes1](via K94.-): “complications of external stoma (J95.0-, K94.-, N99.5-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- Z93 — Artificial opening status[Excludes1](via K94.-): “complications of external stoma (J95.0-, K94.-, N99.5-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
Referenced by Excludes2 notes (22)
- K62 — Other diseases of anus and rectum[Excludes2]: “colostomy and enterostomy malfunction (K94.0-, K94.1-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- K91 — Intraoperative and postprocedural complications and disorders of digestive system, not elsewhere classified[Excludes2](via K94.-): “complications of artificial opening of digestive system (K94.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- T80 — Complications following infusion, transfusion and therapeutic injection[Excludes2](via K94.-): “ostomy complications (J95.0-, K94.-, N99.5-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- T80 — Complications following infusion, transfusion and therapeutic injection[Excludes2]: “colostomy malfunction (K94.0-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- T80-T88 — Complications of surgical and medical care, not elsewhere classified (T80-T88)[Excludes2](via K94.-): “ostomy complications (J95.0-, K94.-, N99.5-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- T80-T88 — Complications of surgical and medical care, not elsewhere classified (T80-T88)[Excludes2]: “colostomy malfunction (K94.0-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- T81 — Complications of procedures, not elsewhere classified[Excludes2]: “colostomy malfunction (K94.0-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- T81 — Complications of procedures, not elsewhere classified[Excludes2](via K94.-): “ostomy complications (J95.0-, K94.-, N99.5-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- and 14 more
Nearest codes (24)
- K94 — Complications of artificial openings of the digestive system[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- K94.00 — Colostomy complication, unspecified[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- K94.01 — Colostomy hemorrhage[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- K94.02 — Colostomy infection[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- K94.03 — Colostomy malfunction[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- K94.09 — Other complications of colostomy[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- K94.1 — Enterostomy complications[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- K94.10 — Enterostomy complication, unspecified[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- and 16 more
Change history
- FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016
Reference
Index terms and tables, published questions and FAQ, every source behind this page with its release and checksum, the date-of-service check and the complete change history.
Common coding questions
MedCoder editorial
Can K94.0 be billed directly?
No. K94.0 (Colostomy complications) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, title, tabular notes and index terms Official source data
- CMS/CDC ICD-10-CM FY2027 tabular list, index and tables, effective October 1, 2026 Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v44.0 (October 2026) Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder-derived relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder editorial explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources
Labels on this page: Official source data · MedCoder-derived relationship · MedCoder editorial explanation. How to read the labels · All data sources and release dates · CMS coding rules
Cite this page
Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.
MedCoder.ai. "K94.0 — Colostomy complications." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/k94.0-colostomy-complications
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionColostomy complications
No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027, and none are recorded for this code. Note changes are tracked from FY2027 only.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to K94.0 in its code family, with their registry titles.
- K94 — Complications of artificial openings of the digestive system
- K94.00 — Colostomy complication, unspecified
- K94.01 — Colostomy hemorrhage
- K94.02 — Colostomy infection
- 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