K95.01 — Infection due to gastric band procedure
K95.01 is a billable, specific ICD-10-CM code for infection due to gastric band procedure. It is valid for submission on a claim.
Risk adjustment
K95.01 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
K95.01 is named in 2 Medicare coverage policies — 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A56422Billing and Coding: Bariatric Surgical Management of Morbid Obesity
How K95.01 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 K95.01.
- Complication›bariatric procedure›gastric band procedure›infection
Related codes at this level
Codes that share K95.0. If K95.01 is not quite right, the correct code is usually one of these.
Questions about K95.01
- Is K95.01 a billable ICD-10-CM code?
- Yes. K95.01 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does K95.01 sit in the tabular list?
- Diseases of the digestive system (K00-K95), in the block Other diseases of the digestive system (K90-K95).