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Z93.6
ICD-10-CM
Urostomy

Find comprehensive information on urostomy diagnosis, including clinical documentation, medical coding, ICD-10 codes, postoperative care, urostomy supplies, and complications management. Learn about different types of urostomies like ileal conduit, continent urostomy, and cutaneous ureterostomy. This resource provides essential guidance for healthcare professionals, coders, and patients seeking information on urostomy procedures, long-term care, and support resources.

Also known as

Urinary diversion
Ileal conduit

Diagnosis Snapshot

Key Facts
  • Definition : Surgically created opening to divert urine from the bladder to the abdomen.
  • Clinical Signs : Urine output from stoma, potential skin irritation around stoma.
  • Common Settings : Hospital (post-op), home care, outpatient clinic

Related ICD-10 Code Ranges

Complete code families applicable to AAPC Z93.6 Coding
Z93.4

Urostomy status

Presence of a urostomy.

N30-N39

Other diseases of urinary system

Conditions affecting the urinary tract that may necessitate a urostomy.

K65-K66

Peritoneal and retroperitoneal conditions

Diseases in the abdomen that can sometimes require a urostomy.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is the urostomy status current?

  • Yes

    Continent urostomy?

  • No

    Urostomy removed?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Urostomy creation
Urostomy complications
Bladder cancer

Documentation Best Practices

Documentation Checklist
  • Urostomy type: ileal conduit, continent, etc.
  • Urostomy creation date and indication (e.g., bladder cancer)
  • Postoperative complications, if any (e.g., stenosis, leakage)
  • Stoma assessment: location, size, appearance, surrounding skin
  • Patient education provided: appliance care, self-catheterization

Coding and Audit Risks

Common Risks
  • Unspecified Urostomy Type

    Coding lacks specificity (e.g., continent, incontinent) impacting reimbursement and data accuracy. CDI crucial for clarification.

  • Unreported Complications

    Post-op complications (e.g., stenosis, infection) may be missed, understating severity for accurate MS-DRG assignment.

  • Incorrect Laterality Coding

    Missing or incorrect laterality (left, right, bilateral) can affect coding accuracy and statistical reporting.

Mitigation Tips

Best Practices
  • ICD-10 Z93.3, document urostomy type for accurate coding.
  • Clinical validation: specify reason, laterality, & surgical technique.
  • CDI query: pre-op vs. post-op status impacts DRG assignment.
  • Coding compliance: ensure proper sequencing with underlying condition.
  • Document complications (e.g., stenosis, infection) with specific codes.

Clinical Decision Support

Checklist
  • Confirm urostomy creation date and type (e.g., ileal conduit, continent).
  • Verify documented indication for urostomy (e.g., bladder cancer, neurogenic bladder).
  • Check post-op complications (e.g., infection, stenosis, leakage) documented.
  • Ensure stoma site assessment (e.g., size, color, surrounding skin) is present.

Reimbursement and Quality Metrics

Impact Summary
  • Urostomy reimbursement hinges on accurate ICD-10 coding (N99.5) and appropriate procedure codes for surgery, revision, or appliance changes. This impacts case mix index (CMI) and overall hospital revenue.
  • Quality metrics for urostomy focus on patient education, stoma site management, prevention of complications like UTIs and skin breakdown, influencing value-based purchasing programs.
  • Accurate documentation of urostomy creation, type (continent, incontinent), and complications is crucial for proper coding and optimal reimbursement.
  • Timely and complete coding for urostomy care ensures accurate hospital reporting, impacting publicly reported data and hospital quality scores.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes. Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code urostomy type (e.g., continent, ileal conduit)
  • ICD-10 Z93.3 for urostomy status
  • Document urostomy creation reason
  • Consider complications (e.g., stenosis, infection)
  • CPT codes for revision/repair

Documentation Templates

Patient presents for urostomy management and follow-up.  The patient's urostomy, created on [Date], is currently functioning with [Character of output - e.g., clear, yellow urine output].  The stoma appears [Description of stoma - e.g., healthy, pink, moist, without signs of irritation, necrosis, or infection].  Peristomal skin is [Description of peristomal skin - e.g., intact, without excoriation, rash, or erythema].  The patient reports [Patient-reported symptoms related to the urostomy - e.g., no leakage, no pain, occasional mild discomfort with pouch changes].  Patient demonstrates understanding of urostomy care, including pouch emptying, cleaning, and changing techniques.  The urostomy appliance is appropriately sized and securely fitted.  The patient was educated on signs and symptoms of urostomy complications, including infection, blockage, and skin breakdown.  Dietary and hydration recommendations were reviewed.  Patient verbalized understanding and expressed no concerns.  Plan: Continue current urostomy care regimen.  Follow-up scheduled in [Duration] to reassess stoma and peristomal skin condition and address any concerns.  Diagnosis:  Urinary diversion via urostomy.  ICD-10 code: [Appropriate ICD-10 code - e.g., Z93.4 - Artificial opening of urinary tract].  Keywords: Urostomy, stoma care, peristomal skin, urinary diversion, urostomy complications, urostomy supplies, urostomy pouch, urostomy revision, urostomy surgery, ileal conduit, continent urostomy, cutaneous ureterostomy, urostomy bag, urinary tract infection, UTI, skin barrier, ostomy nurse, wound care, self-care, patient education, healthcare, medical billing, coding.
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