Infection of continent stoma of urinary tract

This code signifies an infection occurring specifically within a surgically created, continent urinary reservoir (e.g., an Indiana pouch or Kock pouch). This type of stoma is designed to hold urine and is typically emptied intermittently by catheterization, distinguishing it from an incontinent stoma that drains continuously. The infection can involve the stoma itself or the internal pouch.

Use this code when documentation clearly indicates an infection (e.g., pyuria, positive culture, fever, localized tenderness) localized to a continent urinary diversion. This typically occurs in patients who have undergone cystectomy and subsequent urinary reconstruction. Supporting documentation should specify the type of stoma and the presence of infection.

• Differentiate from infections of incontinent urinary stomas (e.g., urostomy bag site infection), which are coded differently.
• Always code the specific infectious organism (e.g., B95-B97) as an additional diagnosis, if identified.
• Ensure documentation specifies "continent" stoma; otherwise, a more general urinary tract infection code may be appropriate.