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Official Description

Home visit for stoma care and maintenance including colostomy and cystostomy

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

A home visit for stoma care and maintenance, as described by CPT® Code 99505, involves a healthcare professional providing specialized care for patients with colostomies and/or cystostomies in their home environment. A colostomy is a surgical procedure that creates an artificial opening (stoma) in the abdominal wall, allowing for the diversion of feces from the colon to an external pouch. Similarly, a cystostomy involves the creation of a stoma for urinary drainage from the bladder. During the home visit, the healthcare provider may perform various tasks, including inspecting the stoma and surrounding skin for any signs of irritation or infection, ensuring that the stoma equipment is functioning properly, and providing education to the patient and their family on how to care for the stoma effectively. This may encompass guidance on hygiene practices, equipment maintenance, and recognizing potential complications. The visit is essential for ongoing patient support and education, ensuring that individuals with stomas can manage their care confidently and effectively in their home setting.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The home visit for stoma care and maintenance is indicated for patients who have undergone colostomy or cystostomy procedures. These indications may include:

  • Colostomy Care Patients requiring assistance with the management of an artificial opening created for fecal diversion.
  • Cystostomy Care Patients needing support for urinary diversion through an artificial opening in the bladder.
  • Patient Education Individuals and their families who require instruction on stoma care, hygiene practices, and equipment management.
  • Follow-Up Care Patients needing ongoing assessment of the stoma site and equipment to prevent complications.

2. Procedure

The procedure for a home visit for stoma care and maintenance involves several key steps, which are detailed as follows:

  • Initial Assessment The healthcare professional begins by conducting a thorough assessment of the patient's stoma and surrounding skin. This includes checking for any signs of irritation, infection, or other complications that may require intervention.
  • Equipment Inspection The provider inspects the stoma care equipment, such as pouches and adhesives, to ensure they are functioning correctly and are appropriate for the patient's needs. Any necessary adjustments or replacements are discussed with the patient.
  • Patient and Family Education Education is a critical component of the visit. The healthcare professional provides detailed instructions to the patient and their family on how to care for the stoma, including hygiene practices, changing the pouch, and recognizing signs of potential complications.
  • Follow-Up Examination The provider may perform a follow-up examination, which could include taking samples if there are concerns about infection or other issues. This step ensures that the patient's stoma is healing properly and functioning as intended.

3. Post-Procedure

After the home visit for stoma care and maintenance, the patient is expected to follow the education provided regarding stoma management. This includes adhering to hygiene practices, regularly inspecting the stoma and surrounding skin, and maintaining the equipment as instructed. The healthcare professional may schedule follow-up visits as needed to monitor the patient's progress and address any ongoing concerns. It is essential for patients to feel supported and confident in managing their stoma care at home, and the visit aims to empower them with the necessary knowledge and skills.

Short Descr HOME VISIT STOMA CARE
Medium Descr HOME VISIT STOMA CARE&MAINT CLST&CSTOST
Long Descr Home visit for stoma care and maintenance including colostomy and cystostomy
Status Code Not Valid for Medicare Purposes
Global Days XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC) 9 - Not Applicable
Multiple Procedures (51) 9 - Concept does not apply.
Bilateral Surgery (50) 9 - Concept does not apply.
Physician Supervisions 09 - Concept does not apply.
Assistant Surgeon (80, 82) 9 - Concept does not apply.
Co-Surgeons (62) 9 - Concept does not apply.
Team Surgery (66) 9 - Concept does not apply.
Diagnostic Imaging Family 99 - Concept Does Not Apply
APC Status Indicator Non-Covered Service, not paid under OPPS
Type of Service (TOS) 1 - Medical Care
Berenson-Eggers TOS (BETOS) M5D - Specialist - other
MUE 0
CCS Clinical Classification 236 - Home Health Services
Date
Action
Notes
2011-01-01 Changed Short description changed.
2002-01-01 Added First appearance in code book in 2002.
Code
Description