ICD Code K94.23

ICD code K94.23 is a classification used to identify and document a malfunction of a gastrostomy, which is a surgical opening created in the stomach for nutritional support or medication administration. This code is used in medical billing and documentation to specify issues related to the function of the gastrostomy, such as blockages, dislodgement, or leakage, which may require medical intervention or adjustment.

1. Feeding Difficulties: When a patient experiences challenges in receiving nutrition through the gastrostomy tube, such as blockages or leakage, it may indicate a malfunction.

2. Tube Displacement: If the gastrostomy tube has shifted from its original position, either externally or internally, it can lead to improper functioning and requires attention.

3. Infection Signs: Symptoms such as redness, swelling, or discharge around the gastrostomy site may suggest an infection, which can be a result of or lead to malfunction.

4. Pain or Discomfort: Any reports of pain or discomfort at the gastrostomy site during feeding or at rest should be evaluated for potential malfunction.

5. Leakage: The presence of gastric contents leaking around the gastrostomy site is a clear indicator of a possible malfunction.

6. Blockage or Clogging: Difficulty in administering feedings or medications due to obstruction in the tube should be assessed as a malfunction.

7. Granulation Tissue Formation: Excessive growth of granulation tissue around the gastrostomy site can interfere with the tube's function and may require intervention.

8. Unexplained Weight Loss: If a patient is experiencing weight loss despite adequate feeding regimens, it may be due to a malfunctioning gastrostomy tube.

9. Aspiration: Signs of aspiration, such as coughing or respiratory distress during feeding, can indicate that the gastrostomy tube is not functioning properly.

10. Mechanical Failure: Any physical damage to the gastrostomy tube, such as cracks or breaks, should be considered a malfunction and addressed promptly.

For the ICD code K94.23, which pertains to gastrostomy malfunction, the relevant CPT codes that may be applicable include:

1. 43760 - Change of gastrostomy tube, percutaneous, without imaging or endoscopic guidance.

2. 49450 - Replacement of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report.

3. 49452 - Replacement of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report, requiring two or more catheters.

4. 49440 - Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report.

5. 43999 - Unlisted procedure, stomach (used when the procedure does not have a specific CPT code).

These CPT codes are typically used in the context of addressing issues related to gastrostomy malfunction as indicated by ICD code K94.23. It is important for healthcare providers to select the appropriate CPT code based on the specific procedure performed.

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