Is K94.39 a billable ICD-10-CM code?

Yes. K94.39 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does K94.39 sit in the tabular list?

Diseases of the digestive system (K00-K95), in the block Other diseases of the digestive system (K90-K95).

K94.39

K94.39 — Other complications of esophagostomy

Billable / specific codeICD-10-CM

K94.39 is a billable, specific ICD-10-CM code for other complications of esophagostomy. It is valid for submission on a claim.

Other codes that can never be billed with K94.39

These codes carry an Excludes1 note pointing at K94.39. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading K94.39 alone.

Z43Encounter for attention to artificial openings
Z93Artificial opening status

Risk adjustment

K94.39 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

HCC 463 Artificial Openings for Feeding or Elimination0.673 RAF

Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.

Medicare coverage

K94.39 is named in 4 Medicare coverage policies — 4 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A56389Billing and Coding: Upper Gastrointestinal Endoscopy and Visualization
A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
A57063Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
A57414Billing and Coding: Upper Gastrointestinal Endoscopy (Diagnostic and Therapeutic)

How K94.39 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to K94.39.

Complication›esophagostomy›specified complication NEC

Code history

K94.39 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share K94.3. If K94.39 is not quite right, the correct code is usually one of these.

Questions about K94.39

Is K94.39 a billable ICD-10-CM code?: Yes. K94.39 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does K94.39 sit in the tabular list?: Diseases of the digestive system (K00-K95), in the block Other diseases of the digestive system (K90-K95).