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Home/Diagnosis/ICD-10 Coding for Colostomy

ICD-10 Coding for Colostomy

Z93.3
Z43.3
K94.0

Complete ICD-10-CM coding and documentation guide for icd-10 coding for colostomy includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Stoma
Ostomy
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Key Information: ICD-10 Coding for Colostomy

Essential facts and insights about ICD-10 Coding for Colostomy

Use ICD-10 code Z93.3 for colostomy status, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Colostomy status

Billable Code
Z93.3
Billable

Diagnostic Criteria

  • • Presence of colostomy without complications

Applicable To

  • • Presence of colostomy

Important Notes

  • • Ensure no complications are present when using this code.

Encounter for attention to colostomy

Billable Code
Z43.3
Billable

Diagnostic Criteria

  • • Documented encounter for colostomy care or maintenance

Applicable To

  • • Routine care and maintenance of colostomy

Important Notes

  • • Ensure the encounter is specifically for colostomy care.

Infection of colostomy

Non-Billable
K94.0
Non-Billable

Diagnostic Criteria

  • • Purulent drainage, erythema, positive culture for organism

Applicable To

  • • Infection at colostomy site

Important Notes

  • • Ensure infection is well-documented with clinical findings.

Mechanical complication of colostomy

Non-Billable
K94.1
Non-Billable

Diagnostic Criteria

  • • Documented mechanical issues such as prolapse or obstruction

Applicable To

  • • Stoma prolapse, obstruction, hernia at stoma site

Important Notes

  • • Ensure mechanical complications are clearly documented.
Frequently Asked Questions

How to code a colostomy takedown with anastomosis?

Use ICD-10-PCS code 0DBB0ZZ for the excision of the colostomy. The anastomosis is considered inherent to the procedure.

When is Z43.3 vs Z93.3 appropriate?

Use Z43.3 for active care such as teaching or appliance changes, and Z93.3 for documenting the status of a colostomy without complications.

How to document for K94.1?

Specify mechanical issues like 'parastomal hernia measuring 3 cm' or 'stoma obstruction requiring irrigation' for accurate coding.

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