Ostomy Complications

Effective October 1, 1998, a series of new code revisions have been developed to expand the colostomy and enterostomy codes, as well as to create codes for tracheostomy and gastrostomy complications. Complications of tracheostomy Complications of gastrostomy Complications of colostomy and enterostomy The following codes have been created to report tracheostomy complications: New code 519.00 Tracheostomy complication, unspecified New code 519.01 Infection of tracheostomy Add Use additional code to identify type of infection, such as: abscess or cellulitis of neck (682.1) septicemia (038.0-038.9) Add Use additional code to identify organism (041.00-041.9) New...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains a set of coding revisions effective October 1, 1998 that expanded reporting options for ostomy-related complications. It covers broad changes for tracheostomy, gastrostomy, and colostomy/enterostomy complications, along with the kinds of supporting coding guidance commonly associated with these updates. The article is relevant to coders, CDI staff, and reimbursement professionals working with complication documentation and diagnosis coding changes.

Why This Topic Matters

Understanding these updates helps readers recognize that ostomy complication reporting changed with the 1998 revision cycle and that related documentation may require attention to accompanying diagnosis coding concepts. It is especially relevant when reviewing historical claims, legacy coding references, or documentation involving tracheostomy and gastrostomy complications.

Article Sections

  1. Overview of code revisions

    Introduces the effective date and the general scope of the diagnosis code changes affecting ostomy-related complications. It frames the article as a summary of new and revised reporting categories.

  2. Complications of tracheostomy

    Summarizes the newly created tracheostomy complication categories and the associated supporting coding guidance discussed in the article. It also includes a brief clinical coding example tied to this topic.

  3. Gastrostomy Complications

    Describes the update history for gastrostomy complication reporting and the transition away from older grouping. It introduces the new category structure without giving detailed coding direction.

What You Will Learn

  • The scope of ostomy-related diagnosis code revisions effective October 1, 1998
  • Which ostomy complication areas were newly expanded or reorganized
  • What general kinds of supporting documentation issues are discussed alongside these updates
  • How the article frames historical coding changes for complication reporting

Who Should Read This

  • Medical coders
  • Coding auditors
  • Clinical documentation improvement staff
  • Revenue cycle professionals
  • Health information management professionals

Codes Discussed

  • ICD-9-CM: 519.00
  • ICD-9-CM: 519.01
  • ICD-9-CM: 682.1
  • ICD-9-CM: 038.0
  • ICD-9-CM: 038.11
  • ICD-9-CM: 041.00
  • ICD-9-CM: 519.02
  • ICD-9-CM: 519.09
  • ICD-9-CM: 997.4

Code Ranges Discussed

  • ICD-9-CM: 038.0-038.9
  • ICD-9-CM: 041.00-041.9

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