Cystostomy infection

This code describes an infection specifically occurring at the site of a cystostomy, which is a surgically created opening into the bladder. This infection can involve the skin around the stoma, the stoma tract, or the bladder itself as a direct consequence of the cystostomy.

Use this code when documentation clearly indicates an infection directly related to a patient's cystostomy. This typically presents with signs of local inflammation, purulent discharge, fever, or other systemic signs of infection in a patient with an existing cystostomy. Documentation should specify the presence of infection and its association with the cystostomy.

• Always code the underlying reason for the cystostomy first, if applicable and still active.
• Distinguish from a general urinary tract infection (UTI) not directly linked to the cystostomy site.
• Look for documentation of specific pathogens if available, and code additional organism codes (B95.-, B96.-) as secondary diagnoses.