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However, the patient’s technique is non-hygienic which results in a UTI. 11-12 discusses a patient with a urostomy that is self-catheterized periodically for drainage of urine. In ICD-10-CM, a CAUTI involving a suprapubic catheter would be coded to T83.518A, Infection and inflammatory reaction due to other urinary catheter.Ĭoding Clinic, 1Q 2012 pp. Though the SPC would be considered an indwelling catheter, it does not involve the urethra.
#Presence of foley catheter icd 10 code
In ICD-10-CM, “urethral” is qualified in code T83.511A for indwelling catheter. At that time, the code description only described indwelling urinary catheter. 11 describes the suprapubic catheter, however the coding advice is related to ICD-9-CM. A CAUTI which is due to a Foley catheter is coded to T83.511A, Infection and inflammatory reaction due to indwelling urethral catheter.Ī suprapubic catheter (SPC) is a hollow tube which drains urine from the bladder via percutaneous insertion through the abdomen.
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It is a flexible tube that is passed through the urethra and into the bladder to drain urine. The most frequent urinary catheter used is an indwelling urethral catheter with the most common type being the Foley catheter. 20-21).ĬAUTIs are coded to the code category, T83.51- Infection and inflammatory reaction due to urinary catheter. Recognizing the need to track CAUTIs with the goal in preventing future occurrences, coders should query the physician regarding the association if the patient has a urinary catheter and then develops a UTI ( Coding Clinic 2Q 2012, pp. There are several AHA Coding Clinics which address the coding of CAUTIs but the main takeaway is that the provider must clearly document the causal relationship between the urinary catheter and the UTI. NHSN reports that of the UTIs acquired during hospitalization, 75% are associated with a urinary catheter. The infectious organism is introduced into the urinary tract via the urinary catheterization. UTIs are not only caused by various bacterial, viral and candidal infectious agents but catheter use may also play a role as an etiologic source for the infection. Read more for an overview of various coding scenarios for which you might be looking for some extra tips.Ĭatheter-Associated Urinary Tract Infections (CAUTI)Īccording to the National Healthcare Safety Network (NHSN), urinary tract infections (UTIs) are the most common type of healthcare-associated infections ( ). With awareness of the documented circumstances and pertinent guidance, the potential implications for inaccurate coding can be avoided. Sometimes this requires us to seek further clarification if the documentation is not clear. As coders, we often encounter common coding scenarios that seem straightforward, but we may need to be reminded of applicable guidelines and coding advice.