Malfunction of continent stoma of urinary tract

This code signifies a functional impairment of a surgically created, continent urinary stoma. This malfunction can manifest as difficulty with catheterization, leakage, or inadequate emptying, impacting the patient's ability to manage urinary diversion effectively. It specifically refers to issues with the continence mechanism of the stoma itself, not the surrounding skin or the underlying urinary tract.

Apply this code when documentation clearly indicates a problem with the continence mechanism of a continent urinary stoma, such as a Kock pouch or Indiana pouch. This includes issues like stenosis of the stoma, prolapse of the efferent limb, or failure of the continence valve. Supporting documentation should detail the specific malfunction and its impact on urinary management.

• Differentiate from complications of other urinary stomas (e.g., ileal conduit), which would use different codes.
• Ensure documentation specifies "continent stoma" to support this code; otherwise, a more general stoma complication code may be appropriate.
• Code any associated infections or other complications separately, following sequencing guidelines.