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N99.538 ICD-10-CM Code: Other complication of continent stoma of urinary tract

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Inpatient Payment Groups (MS-DRG)

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0, Appendix B.

  • MS-DRG 698 — OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC (MDC 11)
  • MS-DRG 699 — OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC (MDC 11)
  • MS-DRG 700 — OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC (MDC 11)
  • MS-DRG 791 — PREMATURITY WITH MAJOR PROBLEMS (MDC 15)
  • MS-DRG 793 — FULL TERM NEONATE WITH MAJOR PROBLEMS (MDC 15)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Official Registry Overview & Definition

Other complication of continent stoma of urinary tract is a billable ICD-10-CM diagnosis code (N99.538).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for N99.538 in the official ICD-10-CM tabular list.

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Indexed Clinical Terms (2)

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.

  • Complication (s) (from) (of), stoma, urinary tract, continent
  • Complication (s) (from) (of), stoma, urinary tract, continent, specified type NEC

Frequently Compared Codes

The official Excludes notes on N99.538 name these codes. Each comparison page covers when the two can — or must not — be reported together.

Change history

  • FY2017 — 2016-10-01
    Description revised
    Other complication of other stoma of urinary tract → Other complication of continent stoma of urinary tract
    FY2017 changes
  • FY2017 — 2016-10-01
    Short description revised
    Other complication of other stoma of urinary tract → Other complication of continent stoma of urinary tract
    FY2017 changes

Verify Before Coding

  • No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.

Relationships & Classification

Official ICD-10-CM tabular notes on other codes that name N99.538 or its code family.

2 Excludes1 notes: Z43 (via N99.5.-), Z93 (via N99.5.-).

22 Excludes2 notes: T80 (via N99.-), T80 (via N99.5.-), T80-T88 (via N99.5.-), T80-T88 (via N99.-), T81 (via N99.-), T81 (via N99.5.-), T82 (via N99.-), T82 (via N99.5.-), T83 (via N99.-), T83 (via N99.5.-) and 12 more.

Potential MS-DRG Relationships (FY2026)

Not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity.

Named in the grouper logic of 5 MS-DRGs: DRG 698 (MDC 11), DRG 699 (MDC 11), DRG 700 (MDC 11), DRG 791 (MDC 15), DRG 793 (MDC 15).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Clinical classification (AHRQ CCSR):GEN026 — Postprocedural or postoperative genitourinary system complication (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Contextual Map

Every relationship of N99.538 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Hierarchy

  • N00-N99 — Chapter 14: Diseases of the Genitourinary System (N00-N99) (N00-N99) [Hierarchy]
  • N99-N99 — Intraoperative and postprocedural complications and disorders of genitourinary system, not elsewhere classified [Hierarchy]

Referenced by Excludes1 notes

  • Z43 — Encounter for attention to artificial openings [Excludes1](via N99.5.-): “complications of external stoma (J95.0-, K94.-, N99.5-)” · check together
  • Z93 — Artificial opening status [Excludes1](via N99.5.-): “complications of external stoma (J95.0-, K94.-, N99.5-)” · check together

Referenced by Excludes2 notes (22)

  • T80 — Complications following infusion, transfusion and therapeutic injection [Excludes2](via N99.-): “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.-)” · check together
  • T80 — Complications following infusion, transfusion and therapeutic injection [Excludes2](via N99.5.-): “ostomy complications (J95.0-, K94.-, N99.5-)” · check together
  • T80-T88 — Complications of surgical and medical care, not elsewhere classified (T80-T88) [Excludes2](via N99.5.-): “ostomy complications (J95.0-, K94.-, N99.5-)” · check together
  • T80-T88 — Complications of surgical and medical care, not elsewhere classified (T80-T88) [Excludes2](via N99.-): “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.-)” · check together
  • T81 — Complications of procedures, not elsewhere classified [Excludes2](via N99.-): “intraoperative and postprocedural complications of specific body system (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95, K91.-, L76.-, M96.-, N99.-)” · check together
  • T81 — Complications of procedures, not elsewhere classified [Excludes2](via N99.5.-): “ostomy complications (J95.0-, K94.-, N99.5-)” · check together
  • T82 — Complications of cardiac and vascular prosthetic devices, implants and grafts [Excludes2](via N99.-): “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.-)” · check together
  • T82 — Complications of cardiac and vascular prosthetic devices, implants and grafts [Excludes2](via N99.5.-): “ostomy complications (J95.0-, K94.-, N99.5-)” · check together
  • and 14 more

Clinical classification (CCSR)

  • GEN026 — Postprocedural or postoperative genitourinary system complication [CCSR]

Potential MS-DRG

  • DRG 698 — OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC [MS-DRG]: “OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC (MDC 11)”
  • DRG 699 — OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC [MS-DRG]: “OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC (MDC 11)”
  • DRG 700 — OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC [MS-DRG]: “OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC (MDC 11)”
  • DRG 791 — PREMATURITY WITH MAJOR PROBLEMS [MS-DRG]: “PREMATURITY WITH MAJOR PROBLEMS (MDC 15)”
  • DRG 793 — FULL TERM NEONATE WITH MAJOR PROBLEMS [MS-DRG]: “FULL TERM NEONATE WITH MAJOR PROBLEMS (MDC 15)”

MDC crossing · procedures (3574)

  • MDC 11 — Diseases and Disorders of the Kidney and Urinary Tract [MDC crossing]: “Diseases and Disorders of the Kidney and Urinary Tract — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”
  • MDC 15 — Newborns and Other Neonates with Conditions Originating in Perinatal Period [MDC crossing]: “Newborns and Other Neonates with Conditions Originating in Perinatal Period — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”
  • 00HE0MZ — Insertion of Neurostimulator Lead into Cranial Nerve, Open Approach [Same-MDC procedure]: “Insertion of Neurostimulator Lead into Cranial Nerve, Open Approach — grouped in MDC 11, the procedure side of this code's crossing.” · check together
  • 00HE3MZ — Insertion of Neurostimulator Lead into Cranial Nerve, Percutaneous Approach [Same-MDC procedure]: “Insertion of Neurostimulator Lead into Cranial Nerve, Percutaneous Approach — grouped in MDC 11, the procedure side of this code's crossing.” · check together
  • 00HE4MZ — Insertion of Neurostimulator Lead into Cranial Nerve, Percutaneous Endoscopic Approach [Same-MDC procedure]: “Insertion of Neurostimulator Lead into Cranial Nerve, Percutaneous Endoscopic Approach — grouped in MDC 11, the procedure side of this code's crossing.” · check together
  • 00HU0MZ — Insertion of Neurostimulator Lead into Spinal Canal, Open Approach [Same-MDC procedure]: “Insertion of Neurostimulator Lead into Spinal Canal, Open Approach — grouped in MDC 11, the procedure side of this code's crossing.” · check together
  • 00HU3MZ — Insertion of Neurostimulator Lead into Spinal Canal, Percutaneous Approach [Same-MDC procedure]: “Insertion of Neurostimulator Lead into Spinal Canal, Percutaneous Approach — grouped in MDC 11, the procedure side of this code's crossing.” · check together
  • and 3569 more

Index entries

  • Complication (s) (from) (of), stoma, urinary tract, continent[Index term]
  • Complication (s) (from) (of), stoma, urinary tract, continent, specified type NEC[Index term]

Nearest codes (40)

  • N99 — Intraoperative and postprocedural complications and disorders of genitourinary system, not elsewhere classified [Sibling]
  • N99.4 — Postprocedural pelvic peritoneal adhesions [Sibling]
  • N99.5 — Complications of stoma of urinary tract [Sibling]
  • N99.51 — Complication of cystostomy [Sibling]
  • N99.510 — Cystostomy hemorrhage [Sibling]
  • N99.511 — Cystostomy infection [Sibling]
  • N99.512 — Cystostomy malfunction [Sibling]
  • N99.518 — Other cystostomy complication [Sibling]
  • and 32 more

Change history (2)

  • FY2017 — Description revised [Change history]
  • and 1 more

Nearest Codes in This Family

Official ICD-10-CM classifications closest to N99.538 in its code family, with their registry titles.

  • N99.530 — Hemorrhage of continent stoma of urinary tract
  • N99.531 — Infection of continent stoma of urinary tract
  • N99.532 — Malfunction of continent stoma of urinary tract
  • N99.533 — Herniation of continent stoma of urinary tract
  • N99.534 — Stenosis of continent stoma of urinary tract
  • N99.6 — Intraoperative hemorrhage and hematoma of a genitourinary system organ or structure complicating a procedure
  • N99.61 — Intraoperative hemorrhage and hematoma of a genitourinary system organ or structure complicating a genitourinary system procedure
  • N99.62 — Intraoperative hemorrhage and hematoma of a genitourinary system organ or structure complicating other procedure
  • N99.7 — Accidental puncture and laceration of a genitourinary system organ or structure during a procedure
  • N99.71 — Accidental puncture and laceration of a genitourinary system organ or structure during a genitourinary system procedure

View all codes in the N99 family