Crystal's MCW Coder HubDEFINITION of stoma
In anatomy, a stoma (plural: stomata or stomas) is any opening in the body. In medical/surgical contexts, it specifically refers to a temporary or permanent opening created on a body surface, especially the abdomen or throat, through a surgical procedure such as a colostomy or tracheostomy. The word stoma or ostomy is derived from the Latin word ostium, which means opening or mouth. An intestinal stoma is one of the most common surgical procedures performed. There are three main types of stomas: colostomy (from the large bowel), ileostomy (from the small bowel), and urostomy (urinary stoma). Each stoma can be either permanent or temporary depending on the medical condition. The stoma allows waste (feces or urine) to be diverted from its normal path and exit the body into a collection pouch.
ETYMOLOGY of stoma
greek Origin: Late 17th century; modern Latin, from Greek Greek Root: στόμα (stoma), meaning “mouth” or “opening” Latin Connection: Related to Latin word “ostium” meaning opening or mouth Pronunciation: /ˈstoʊ.mə/ (plural: stomata /ˈstoʊ.mə.tə/ or stomas) First Medical Use: The term has been used in medical terminology since the 17th century
Related Terms
Term Definition Ostomy Surgical procedure creating a stoma; suffix “-stomy” means creating an opening Colostomy Stoma created from the large bowel/colon Ileostomy Stoma created from the small bowel/ileum urostomy Urinary stoma for urine diversion Tracheostomy Stoma created in the trachea for breathing Enterostomy Surgical opening into the intestine -stomy Suffix meaning “creating an opening” (from Greek stoma) stomato- Combining form meaning “mouth” or “opening” Stomatitis Inflammation of the interior of the mouth Laryngectomee Person with a tracheostoma after laryngectomy End Stoma One end of bowel brought to surface Loop Stoma Loop of bowel brought to surface
CODING AND NUANCES
ICD-10-CM (Diagnosis Codes)
Code Description Z93.0 Tracheostomy status Z93.1 Gastrostomy status Z93.2 Ileostomy status Z93.3 Colostomy status Z93.4 Other artificial openings of digestive tract status Z93.5 Cystostomy status Z93.6 Other artificial openings of urinary tract status Z93.8 Other artificial opening status Z93.9 Artificial opening status, unspecified K94.0- Colostomy complications (requires additional characters) K94.00 Colostomy complication, unspecified K94.01 Colostomy hemorrhage K94.02 Colostomy infection K94.03 Colostomy malfunction K94.04 Colostomy stenosis K94.09 Other complications of colostomy K94.1- Enterostomy complications (requires additional characters) K94.10 Enterostomy complication, unspecified K94.11 Enterostomy hemorrhage K94.12 Enterostomy infection K94.13 Enterostomy malfunction K94.14 Enterostomy stenosis K94.19 Other complications of enterostomy K94.2- Gastrostomy complications K94.3- Jejunostomy complications J95.02 Infection of tracheostomy stoma J95.03 Malfunction of tracheostomy stoma L24.B3 Contact dermatitis due to surgical stoma or abnormal fistula to intestine via abdomen ICD-10-PCS (Procedure Codes)
Code Description 0D1Q0Z4 Bypass Colon to Cutaneous, Open Approach 0D1Q4Z4 Bypass Colon to Cutaneous, Percutaneous Endoscopic Approach 0D1R0Z4 Bypass Ileum to Cutaneous, Open Approach 0W1G0ZB Bypass Bladder to Cutaneous, Open Approach (urostomy) 0W1G4ZB Bypass Bladder to Cutaneous, Percutaneous Endoscopic Approach 0B110F4 Bypass Trachea to Cutaneous, Open Approach (Tracheostomy) CPT Codes
Stoma Creation Procedures
Code Description 44320 Colostomy or skin level cecostomy or other colonic procedure; temporary 24 44332 Colostomy or skin level cecostomy or other colonic procedure; permanent 44346 Ileostomy or jejunostomy; non-therapeutic (separate procedure) 44380 Small intestinal enterostomy (e.g., tube enterostomy, needle catheter enterostomy) Endoscopic Stomal Procedures
Code Description 44388 Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing 44389 Colonoscopy through stoma; with biopsy, single or multiple 27 44390 Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion(s) 44391 Colonoscopy through stoma; with removal of foreign body 25 44392 Colonoscopy through stoma; with control of bleeding 44393 Colonoscopy through stoma; with decompression (e.g., placement of decompression tube) 44394 Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps 44396 Colonoscopy through stoma; with dilation (e.g., balloon, guided wire) 44397 Colonoscopy through stoma; with transendoscopic ultrasound examination 44405 Colonoscopy through stoma; with transendoscopic ultrasound guided fine needle aspiration/biopsy 44406 Colonoscopy through stoma; with transendoscopic ultrasound guided celiac plexus neurolysis 44407 Colonoscopy through stoma; with transendoscopic ultrasound guided injection 44408 Colonoscopy through stoma; with placement of stent Stoma Revision/Reversal
Code Description 44620 Closure of enterostomy, large or small intestine; with resection and anastomosis 44625 Closure of enterostomy, large or small intestine; without resection 44650 Revision of colostomy; simple (e.g., narrowing of stoma, revision of prolapse) 44660 Revision of colostomy; with resection and anastomosis 44661 Revision of colostomy; with relocation
Note: ICD-10-CM diagnosis codes are typically 3-7 characters. ICD-10-PCS procedure codes are always 7 characters. CPT codes are 5 digits. Some codes may require additional characters/modifiers based on specific clinical circumstances. The three most common types of ostomies are colostomy, ileostomy, and urostomy. Each ostomy procedure is done for different medical reasons
DERIVATIONS of stoma
TABLE definition AS Definition FROM #medterm WHERE length(filter(roots, (word) => econtains([[]].roots, word))) > 0 AND file.name != [[]].file.name SORT file.name ASC
Query functionality
TABLE definition AS Definition FROM #medterm WHERE length(filter(definition, (word) => econtains([[]].definition, word))) > 0 AND file.name != [[]].file.name
Med roots Appendix A Prefixes Appendix B Combining Forms Appendix C Suffixes Appendix D Suffix forms