Urostomy ICD-10-CM Codes

What ICD-10 Codes are Used for Urostomy? 

N14.0

This Urostomy ICD 10 code, N14.0, signifies a surgical procedure called ureterostomy that addresses either ureteral obstruction or reflux. This intervention involves creating a passage in the ureter to enable direct drainage of urine from the ureter into a bag or pouch. The ureter is responsible for transporting urine from the kidney to the bladder. Obstruction or reflux can arise from various factors like cancer, infection, or injury. Ureterostomy is performed surgically to alleviate these issues and facilitate proper urine drainage.

N14.1

Similarly, the code N14.1 pertains to ureterostomy conducted for urinary diversion purposes. This procedure involves making an opening in the ureter to allow urine to be directed from the ureter into another body part, such as the intestine. Urinary diversion is undertaken when the bladder or urethra is dysfunctional. Ureterostomy is a specific form of urinary diversion.

N14.2

Additionally, N14.2 corresponds to ureterostomy performed for alternative reasons beyond obstruction or diversion. This code indicates creating a ureteral opening to address diverse objectives, like pain relief or obtaining tissue samples. Reasons for performing ureterostomy can range from alleviating pain caused by kidney stones to acquiring tissue samples for biopsy.

N99.531

Moving on to N99.531, as one of the common Urostomy ICD Codes, this one refers to the occurrence of urine leakage from a continent urostomy. A continent urostomy is a specialized type of urostomy that allows individuals to control the timing of urine release. Leakage from such a urostomy can result from multiple factors, including infection, improperly fitting pouches, or malfunctions in the urostomy appliance.

N99.534

The ICD 10 Urostomy code N99.534 describes the condition of stenosis in a continent urostomy. Stenosis involves narrowing the urostomy passage, which can impede the ability to manage urine release, leading to discomfort and potential pain.

N99.538

Moreover, N99.538 encompasses any other complication from a continent urostomy, such as infection or skin irritation. These complications can be severe and necessitate medical attention.

Z93.6

Lastly, the ICD 10 code for Urostomy Z93.6 denotes the presence of an artificial opening in the urinary tract without any current complications. This code monitors the status of a person's urostomy over time and identifies potential complications that might arise.

Which Urostomy ICD codes are Billable: 

• N14.0: Yes 
• N14.1: No
• N14.2: Yes 
• N99.531: Yes 
• N99.534: Yes 
• N99.538: Yes 
• Z93.6: Yes 

Clinical Information

• Urostomy is a surgical creation of an abdominal stoma to divert urine from the bladder, often necessary when conditions like cancer or injury compromise bladder function.
• There are two types of Urostomy. Ileal conduit urostomy uses a small intestine section to create a urine pouch externally attached. Continent urostomy establishes an internal pouch, requiring manual emptying via a catheter.
• Post-Surgery Care: Patients learn stoma and pouch care and remain watchful for complications like infections or prolapse.
• Urostomies are performed for bladder cancer, injury, urinary blockages, neurogenic bladder, congenital defects, radiation effects, inflammatory bowel disease, or recurring infections.
• Urostomy is a significant surgery; discussions with medical professionals are crucial for risk-benefit assessment, potentially offering improved quality of life.
• Infections, skin irritations, stoma issues, leakage, obstructions, hernias, and fistulas are potential complications requiring regular medical monitoring.
• Regular doctor visits for monitoring, recognizing signs of infection, and proactive management are essential.
• Proper care allows most individuals with urostomies to lead active, normal lives.

Synonyms Include:

• Urinary diversion
• Ostomy
• Stoma
• Continent urinary diversion
• Incontinent urinary diversion
• Ileal conduit
• Continent ileal conduit