I'm no expert and this is just a guess but it looks bacterial here is a web site from a very known and respected breeder
www.kodamakoifarm.com

How to Make Medicated Koi Food for Bacterial Infections
Learn how to make your own medicated koi food at home now and use our special package of everything you need to make your own food. We will go through bacterial infections and what to use for parasites as well.
