Herniation of continent stoma of urinary tract

This code describes the protrusion of tissue or an organ through the abdominal wall at the site of a surgically created, continent urinary stoma. This complication typically involves the bowel or other abdominal contents herniating into the stoma opening, potentially leading to obstruction or other issues. A continent stoma is designed to hold urine until voluntarily emptied, often through catheterization.

Assign this code when documentation clearly indicates a herniation specifically affecting a continent urinary stoma. This would apply to patients presenting with a bulge, pain, or dysfunction at the stoma site, confirmed to be a hernia. Supporting documentation includes physician notes detailing the physical examination findings, imaging reports confirming the hernia, and a clear statement that the stoma is continent.

• Ensure the documentation specifies "continent stoma" to differentiate from other types of urinary diversions.
• Code any associated complications of the herniation (e.g., obstruction, gangrene) separately and sequence appropriately.
• Do not confuse with general abdominal wall hernias or hernias involving non-urinary stomas.