N99.5 vs T83.038A
N99.5 (Complications of stoma of urinary tract) compared with T83.038A (Leakage of other urinary catheter, initial encounter), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Can these codes be reported together?
Yes, when both are documented. N99.5 carries an Excludes2 note covering T83.038A: “mechanical complication of urinary catheter (T83.0-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Yes, when both are documented. T83.038A carries an Excludes2 note covering N99.5: “complications of stoma of urinary tract (N99.5-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Yes, when both are documented. T83.038A carries an Excludes2 note covering N99.5: “intraoperative and postprocedural complications of specified body systems (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95.6-, J95.7, K91.6-, L76.-, M96.-, N99.-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Yes, when both are documented. T83.038A carries an Excludes2 note covering N99.5: “ostomy complications (J95.0-, K94.-, N99.5-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| N99.5Complications of stoma of urinary tract | T83.038ALeakage of other urinary catheter, initial encounter | |
|---|---|---|
| Billing status | Non-billable header | Billable |
| Classification | N00-N99 — Diseases of the Genitourinary System (N00-N99) | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) |
| Definition | Complications of stoma of urinary tract is a non-billable ICD-10-CM category code (N99.5). | Leakage of other urinary catheter, initial encounter is a billable ICD-10-CM diagnosis code (T83.038A). |
| 7th character | — | The appropriate 7th character is to be added to each code from category T83 |
| Includes | — | Leakage of Hopkins catheter Leakage of ileostomy catheter Leakage of urostomy catheter |
| Use additional code | — | code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5) code(s) to identify the specified condition resulting from the complication code to identify devices involved and details of circumstances (Y62-Y82) |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources