Name of the Condition

• Ileostomy Status: Refers to the medical condition, status, or situation of having an ileostomy, a surgical opening made in the ileum (part of the small intestine) to divert waste out of the body.

Summary

• An ileostomy is a surgical procedure in which a part of the small intestine is brought to the surface of the abdomen to create an opening called a stoma. It allows waste to bypass the colon, exiting the body into an external bag.

Causes

• Surgical intervention: Conditions such as Crohn's disease, ulcerative colitis, bowel cancer, or trauma to the intestines may require an ileostomy.

Risk Factors

• Underlying intestinal diseases: Patients with severe inflammatory bowel disease (IBD) or colorectal cancer may have a higher risk of needing an ileostomy.
• Previous abdominal surgeries: Might increase the likelihood of requiring an ileostomy.

Symptoms

• Absent rectal function: As waste is diverted through the ileostomy.
• Stoma maintenance: Managing the care and hygiene of the stoma.

Diagnosis

• Assessment: Typically confirmed by surgical records and physical examination noting the presence of a stoma.

Treatment Options

• Stoma care: Involves learning how to change and manage the ostomy bag properly.

• Diet modifications: Patients may need a specialized diet to manage output consistency and volume.

  Prognosis and Follow-Up

• Positive outcomes: Many individuals lead full lives with an ileostomy. Regular follow-ups are critical for ensuring the health of the stoma and adjusting care as necessary.

Complications

• Stoma blockage: Can occur due to dietary factors or scar tissue.

• Skin irritation: From the adhesive or output contacting the skin.

  Lifestyle & Prevention

• Diet adjustments: To prevent blockages and manage output.
• Regular follow-ups: With healthcare providers to monitor stoma health.

When to Seek Professional Help

• Signs of infection: Redness, swelling, or discharge around the stoma.
• Increased stoma output: Or no output, indicating a blockage.

Additional Resources

• United Ostomy Associations of America: ostomy.org
• Crohn's & Colitis Foundation: crohnscolitisfoundation.org

Tips for Medical Coders

• Ensure specificity: Code Z93.2 is specific to ileostomy; other codes cover different types of ostomies.
• Accurate documentation: Verify details in medical records for precise coding to distinguish between temporary and permanent ileostomies.