Appendico-vesicostomy status

This code indicates that a patient has undergone an appendico-vesicostomy, a surgical procedure where the appendix is used to create a conduit between the bladder and the abdominal wall. This channel allows for intermittent catheterization to drain urine, typically in individuals with neurogenic bladder dysfunction or other complex lower urinary tract issues.

Use this code for patients who have a history of an appendico-vesicostomy and are presenting for follow-up care, management of related complications, or for any encounter where the presence of this surgical alteration is relevant to their current medical status. It signifies the permanent anatomical change resulting from this specific urinary diversion.

• Always assign this code as a secondary diagnosis, as it describes a status rather than an active disease.
• Ensure documentation clearly states the patient has undergone an appendico-vesicostomy, often referred to as a Mitrofanoff procedure.
• Do not use this code for other types of urinary diversions; it is specific to the appendix-based vesicostomy.