Hemorrhage from tracheostomy stoma

This code signifies bleeding originating from the opening created in the trachea (stoma) for a tracheostomy tube. This can range from minor oozing to significant hemorrhage, occurring acutely or as a delayed complication after the initial procedure.

Apply this code when documentation clearly indicates bleeding from the tracheostomy stoma. This includes instances of active bleeding, hematoma formation at the stoma site, or blood noted in the tracheostomy tube or dressings. Supporting documentation should specify the stoma as the source of the hemorrhage.

• Do not use this code for bleeding from the airway distal to the tracheostomy stoma; consider codes for tracheal hemorrhage (e.g., R04.2).
• Code any underlying cause of the hemorrhage (e.g., infection, trauma) as an additional diagnosis, if known.
• Ensure documentation differentiates stoma bleeding from other sources of hemoptysis or upper airway bleeding.