N99.523
BillableHerniation of incontinent stoma of urinary tract
HCC Category Mapping
V24HCC 176 — Complications of Specified Implanted Device or Graft
0.529ESRDHCC 176 — Complications of Specified Implanted Device or Graft
0.000What This Code Means
A hernia develops at the site of an incontinent external urinary stoma, where tissue protrudes through the opening or surrounding area. This is a bulging or protrusion of internal tissue through the stoma site.
Coding Tips
- •Confirm the hernia is specifically related to the incontinent stoma location
- •Document whether the hernia is reducible or irreducible if this information is available
Clinical Significance
Herniation at an incontinent urinary stoma site represents a serious structural complication that may require surgical repair. This condition can compromise stoma function and cause significant patient discomfort, requiring specialized urological intervention.
Documentation Requirements
- ✓Documentation of incontinent external urinary stoma
- ✓Description of hernia size and characteristics
- ✓Clinical examination findings
- ✓Impact on stoma function
- ✓Associated symptoms (pain, bulging, discomfort)
- ✓Any complications (incarceration, obstruction)
- ✓Surgical consultation or intervention plans
Commonly Confused Codes
K43.9 — Ventral hernia without obstruction (general abdominal hernia)N99.522 — Malfunction of incontinent external stoma (general malfunction vs specific herniation)N99.533 — Herniation of continent stoma (continent vs incontinent stoma)K94.09 — Other complications of colostomy (colostomy vs urinary stoma)
Code Hierarchy
└N99Intraoperative and postprocedural complications and disorders of genitourinary system, not elsewhere classified└N99.5Complications of stoma of urinary tract└N99.52Complication of incontinent external stoma of urinary tract└N99.523Herniation of incontinent stoma of urinary tract
└N99.523Herniation of incontinent stoma of urinary tract