K91.870

K91.870: Postprocedural hematoma of a digestive system organ or structure following a digestive system procedure

Billable / specific codeICD-10-CM

K91.870 is a billable, specific ICD-10-CM code for postprocedural hematoma of a digestive system organ or structure following a digestive system procedure. It is valid for submission on a claim.

Check K91.870 with the rest of the claim: free scrubber

Excludes2 inherited from the categories above K91.870

Not part of this code, but both may be coded when both are present.

Written on K91: Intraoperative and postprocedural complications and disorders of digestive system, not elsewhere classified

complications of artificial opening of digestive system (K94.-)
complications of bariatric procedures (K95.-)
gastrojejunal ulcer (K28.-)
postprocedural (radiation) retroperitoneal abscess (K68.11)
radiation colitis (K52.0)
radiation gastroenteritis (K52.0)
radiation proctitis (K62.7)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

K91.870 is named in 7 Medicare coverage policies: 7 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56389Billing and Coding: Upper Gastrointestinal Endoscopy and Visualization
A56421Billing and Coding: CT of the Abdomen and Pelvis
A56632Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
A56682Billing and Coding: Diagnostic Abdominal Aortography and Renal Angiography

Alphabetic index entries that lead here

Complication›postprocedural›hematoma›digestive system›following procedure on digestive system

Code history

Unchanged in every release from FY2024 to FY2027.