ICD Code Z93.4

ICD code Z93.4 is the code for the presence of an artificial voice box, also known as a tracheoesophageal voice prosthesis.

1. Presence of a surgically created artificial opening in the urinary tract

2. Patient has undergone a urostomy procedure

3. Ongoing need for urinary diversion due to underlying medical conditions such as bladder cancer, neurogenic bladder, or severe trauma

4. Documentation of the stoma site and its function in the medical record

5. Absence of complications such as infection or malfunction at the time of coding

6. Patient is not currently being treated for the underlying condition that necessitated the urostomy, but the stoma remains in place

Relevant CPT codes that may be used to treat ICD code Z93.4 include:

- 49440 (insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report)

- 43760 (change of gastrostomy tube, percutaneous, without imaging or endoscopic guidance)

- 43246 (upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with directed placement of percutaneous gastrostomy tube)

- 49450 (replacement of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report)

- 44372 (replacement of gastrostomy tube, percutaneous, without imaging or endoscopic guidance)

- 49465 (removal of gastrostomy tube, percutaneous, under fluoroscopic guidance)

These CPT codes are commonly associated with the management and procedures related to ICD code Z93.4.

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