Encounter for attention to cystostomy

This code signifies a patient encounter focused on the routine care, maintenance, or management of an existing cystostomy. A cystostomy is a surgically created opening into the bladder, typically for urine drainage. This code does not represent the initial creation of the cystostomy or treatment of complications.

Use this code for encounters involving changing a cystostomy tube, flushing the tube, or inspecting the stoma site for routine care. It is appropriate when the patient presents specifically for the upkeep of their cystostomy, without active infection or other complications being the primary reason for the visit.

• Always assign a secondary code for the underlying condition necessitating the cystostomy (e.g., neurogenic bladder).
• Do not use this code if the encounter is for a complication of the cystostomy, such as infection, obstruction, or leakage; instead, code the specific complication.
• This code is for attention to an existing cystostomy, not for the insertion or removal of the device itself unless it's part of routine maintenance.