CPT® Code 99505

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.