N99.520

HCC Category Mapping

What This Code Means

Bleeding occurs from an incontinent external urinary stoma, which is a surgically created opening on the skin for continuous urine drainage into an external pouch. This represents abnormal blood loss from the stoma.

Coding Tips

• •Distinguish between incontinent stoma (continuous drainage) and continent stoma (catheterizable pouch)
• •Verify the stoma is external and incontinent before assigning this code

Clinical Significance

Hemorrhage from an incontinent external urinary stoma represents a potentially serious complication requiring immediate evaluation and management. This bleeding can indicate underlying pathology, improper fitting equipment, or tissue trauma that may compromise the stoma function.

Documentation Requirements

• ✓Documentation of incontinent external urinary stoma type
• ✓Description of bleeding severity and characteristics
• ✓Duration and frequency of hemorrhagic episodes
• ✓Associated symptoms (pain, swelling, discharge)
• ✓Hemodynamic impact if significant bleeding
• ✓Interventions performed to control bleeding
• ✓Underlying cause if identified (trauma, infection, etc.)

Commonly Confused Codes