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ICD-10-CM 2027 diagnosis code

N99.538Other complication of continent stoma of urinary tract

✓ Billable / specific

N99.538 is a valid, billable ICD-10-CM code for other complication of continent stoma of urinary tract. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.

Code last changed in FY2017 (effective October 1, 2016). Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About N99.538

N99.538 is the ICD-10-CM diagnosis code for other complication of continent stoma of urinary tract. It belongs to category N99 (intraoperative and postprocedural complications and disorders of genitourinary system, not elsewhere classified), block N99 (intraoperative and postprocedural complications and disorders of genitourinary system, not elsewhere classified) and chapter 14 (diseases of the genitourinary system). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within N99.53, choose N99.538 (Other complication of continent stoma of urinary tract) only when documentation doesn't support a more specific option: hemorrhage of continent stoma of urinary tract (N99.530), infection of continent stoma of urinary tract (N99.531), malfunction of continent stoma of urinary tract (N99.532), herniation of continent stoma of urinary tract (N99.533) and stenosis of continent stoma of urinary tract (N99.534).

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 698 (Other Kidney and Urinary Tract Diagnoses with MCC, relative weight 1.6398), DRG 699 (Other Kidney and Urinary Tract Diagnoses with CC, relative weight 1.0003), DRG 700 (Other Kidney and Urinary Tract Diagnoses without CC/MCC, relative weight 0.6741), DRG 791 (Prematurity with Major Problems, relative weight 4.1075) and DRG 793 (Full Term Neonate with Major Problems, relative weight 4.2195), in MDC 11 (Diseases and Disorders of the Kidney and Urinary Tract) and MDC 15 (Newborns and Other Neonates with Conditions Originating in the Perinatal Period), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015, and changed in FY2017 (title revised).

Before ICD-10, this condition was coded in ICD-9-CM as 997.5 (urinary complications, not elsewhere classified).

Notes that apply from higher levels

Instructions written at a parent level also apply to N99.538.

› From N99.5 Complications of stoma of urinary tract
Excludes2
  • mechanical complication of urinary catheter (T83.0-)
› From N99 Intraoperative and postprocedural complications and disorders of genitourinary system, not elsewhere classified
Excludes2
  • irradiation cystitis (N30.4-)
  • postoophorectomy osteoporosis with current pathological fracture (M80.8-)
  • postoophorectomy osteoporosis without current pathological fracture (M81.8)

Broader instructions also apply from Chapter 14: Diseases of the genitourinary system.

Alphabetic index entries

2 entries

Terms in the official ICD-10-CM index that lead to N99.538.

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

MDC 15 · Newborns and Other Neonates with Conditions Originating in the Perinatal Period

MDC 15 · Newborns and Other Neonates with Conditions Originating in the Perinatal Period

ICD-9-CM equivalent

Converter →
  • 997.5Urinary complications, not elsewhere classifiedapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • FY2017 (effective 10/1/2016): Title revised — was “Other complication of other stoma of urinary tract”

Common questions about N99.538

Is N99.538 billable?

Yes. N99.538 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can N99.538 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict N99.538 as a principal diagnosis.

Is N99.538 a CC or MCC?

No. N99.538 is neither a CC nor an MCC under MS-DRG v44.0.

What DRG does N99.538 group to?

N99.538 is used in the MS-DRG v44.0 logic for MS-DRG 698 (Other Kidney and Urinary Tract Diagnoses with MCC), MS-DRG 699 (Other Kidney and Urinary Tract Diagnoses with CC), MS-DRG 700 (Other Kidney and Urinary Tract Diagnoses without CC/MCC), MS-DRG 791 (Prematurity with Major Problems) and MS-DRG 793 (Full Term Neonate with Major Problems). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.

What is the ICD-9 code for N99.538?

The CMS General Equivalence Mappings map N99.538 to ICD-9-CM 997.5.