Bladder replaced by other means

This code signifies that a patient's natural bladder has been surgically removed and replaced with an artificial or reconstructed bladder. This replacement can involve a neobladder created from a segment of the intestine, an ileal conduit, or other urinary diversion techniques. It indicates a permanent alteration of the urinary system's storage and elimination function.

This code is appropriate for patients who have undergone a cystectomy with subsequent urinary diversion or bladder reconstruction. It should be used to document the presence of an artificial or reconstructed bladder as a current health status. This code is typically used as a secondary diagnosis to provide context for ongoing care related to the urinary system.

• Always assign a primary diagnosis explaining the reason for the original bladder removal (e.g., bladder cancer).
• Do not use this code for temporary urinary diversions or catheters.
• Consider additional codes for any complications or ongoing issues related to the artificial bladder (e.g., infection, stenosis).