Hemorrhage of incontinent external stoma of urinary tract

This code signifies bleeding originating from an external urinary stoma that is not continent, meaning it continuously drains urine. This hemorrhage can manifest as blood in the urine draining from the stoma or visible bleeding from the stoma site itself. It indicates a complication related to the stoma's function and integrity.

Apply this code when documentation clearly indicates active bleeding from a non-continent urinary stoma, such as an ileal conduit or urostomy. This would be used in cases of hematuria originating from the stoma or direct observation of stomal bleeding. Supporting documentation should specify the stoma's incontinent nature and the presence of hemorrhage.

• Ensure the documentation specifies the stoma is "incontinent" to accurately use this code.
• Distinguish this from hemorrhage of a continent urinary stoma (N99.521) or other complications like infection or obstruction.
• Code any underlying cause of the hemorrhage, if known and documented, as an additional diagnosis.