ICD-10 Coding for Foley Catheter Care(N39.0, T83.511A)
Complete ICD-10-CM coding and documentation guide for Foley Catheter Care. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Foley Catheter Care
N39-N39.9Primary Range
Other disorders of urinary system
Includes conditions like urinary tract infections and urinary retention, which are common reasons for Foley catheter use.
Complications of genitourinary devices, implants and grafts
Covers complications related to Foley catheters, such as infections and mechanical issues.
Encounter for fitting and adjustment of devices
Used for encounters related to the management and adjustment of urinary devices like Foley catheters.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| N39.0 | Urinary tract infection, site not specified | Use when a UTI is diagnosed without a specified site. |
|
| T83.511A | Infection and inflammatory reaction due to indwelling urinary catheter, initial encounter | Use when a UTI is confirmed to be caused by an indwelling catheter. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for Foley catheter care
Essential facts and insights about Foley Catheter Care
Primary ICD-10-CM Codes for foley catheter care
Decision Criteria
clinical Criteria
- Presence of UTI symptoms without catheter involvement
Applicable To
- UTI
Excludes
- Infection due to indwelling catheter (T83.511A)
Clinical Validation Requirements
- Positive urine culture
- Symptoms of UTI such as dysuria, frequency
Code-Specific Risks
- Misclassification if site is specified
Coding Notes
- Ensure UTI is not due to catheter before using this code.
T83.511A - Infection and inflammatory reaction due to indwelling urinary catheter, initial encounter
Use when a UTI is confirmed to be caused by an indwelling catheter.
Applicable To
- CAUTI
Excludes
- Non-catheter related UTI (N39.0)
Clinical Validation Requirements
- Documented causal relationship between catheter and infection
Coding Notes
Ensure documentation explicitly states 'due to catheter'.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Encounter for fitting and adjustment of urinary devices
Z46.82Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Foley Catheter Care to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N39.0.
Impact
Clinical: Mismanagement of infection source., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Ensure documentation specifies infection etiology.
Impact
Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on infection sources.
Mitigation Strategy
Use T83.511A for CAUTIs with documented causality.
Impact
Risk of audit if CAUTI is coded without proper documentation.
Mitigation Strategy
Ensure all documentation specifies the catheter as the infection source.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Foley Catheter Care, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Foley Catheter Care
Use these documentation templates to ensure complete and accurate documentation for Foley Catheter Care. These templates include all required elements for proper coding and billing.
Uncomplicated Foley insertion
Specialty: UrologyRequired Elements
- Indication for catheter
- Catheter size and type
- Insertion technique
- Urine output and characteristics
- Securement method
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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