Hemorrhage of continent stoma of urinary tract

This code signifies bleeding originating from a surgically created, continent urinary stoma. This type of stoma allows for urine storage and controlled emptying, often seen in patients with urinary diversions like a Kock pouch or Indiana pouch. The hemorrhage can range from minor spotting to significant bleeding.

Apply this code when documentation explicitly states hemorrhage from a continent urinary stoma. This typically occurs post-surgically or due to irritation, infection, or trauma to the stoma or pouch lining. Supporting documentation should include physician notes detailing the bleeding, its location, and the type of urinary diversion.

• Differentiate from bleeding of a non-continent (e.g., ileal conduit) stoma, which would use a different code.
• Always code the underlying cause of the hemorrhage if known and documented (e.g., infection, trauma).
• Ensure the documentation specifies "continent" stoma; otherwise, a more general code for urinary stoma hemorrhage may be appropriate.