MCMCB Pro
N99.528

N99.528Other complication of incontinent external stoma of urinary tract

Billable / specific codeICD-10-CM

N99.528 is a billable, specific ICD-10-CM code for other complication of incontinent external stoma of urinary tract. It is valid for submission on a claim.

Risk adjustment

N99.528 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Medicare coverage

N99.528 is named in 1 Medicare coverage policy 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

  • A56421Billing and Coding: CT of the Abdomen and Pelvis

How N99.528 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to N99.528.

  • Complicationstomaurinary tract
  • Complicationstomaurinary tractexternal NOS
  • Complicationstomaurinary tractincontinent
  • Complicationstomaurinary tractspecified type NEC
  • Complicationstomaurinary tractincontinentspecified type NEC

Related codes at this level

Codes that share N99.52. If N99.528 is not quite right, the correct code is usually one of these.

Questions about N99.528

Is N99.528 a billable ICD-10-CM code?
Yes. N99.528 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does N99.528 sit in the tabular list?
Diseases of the genitourinary system (N00-N99), in the block Intraoperative and postprocedural complications and disorders of genitourinary system, not elsewhere classified (N99).
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.