ICD-10 Coding for Foley Catheter(N39.0, T83.511A)
Complete ICD-10-CM coding and documentation guide for Foley Catheter. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Foley Catheter
N39-N39.9Primary Range
Other disorders of urinary system
Includes urinary tract infections (UTIs) which can be associated with Foley catheter use.
Complications of genitourinary devices, implants, and grafts
Covers complications specifically related to Foley catheters, such as infections.
Encounter for fitting and adjustment of other devices
Used for routine maintenance or adjustment of 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 confirmed and linked to Foley catheter use. |
|
| T83.511A | Infection and inflammatory reaction due to indwelling urethral catheter, initial encounter | Use when infection is directly linked to the Foley 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 UTI
Essential facts and insights about Foley Catheter
Primary ICD-10-CM Codes for foley catheter
Decision Criteria
clinical Criteria
- Positive urine culture with symptoms onset >48hrs post-insertion
Applicable To
- UTI due to Foley catheter
Excludes
- CAUTI with identified organism
Clinical Validation Requirements
- Urine culture >10^5 CFU/mL
- Symptoms onset >48hrs post-insertion
Code-Specific Risks
- Denial if not linked to Foley catheter
Coding Notes
- Ensure documentation explicitly links UTI to Foley catheter.
T83.511A - Infection and inflammatory reaction due to indwelling urethral catheter, initial encounter
Use when infection is directly linked to the Foley catheter.
Applicable To
- CAUTI
Excludes
- Non-infectious complications
Clinical Validation Requirements
- Fever, positive urine culture
- Catheter in place >48hrs
Coding Notes
Sequence as primary if present on admission.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Encounter for fitting and adjustment of urinary device
Z46.82Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Foley Catheter to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N39.0.
Impact
Clinical: Inaccurate diagnosis, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials
Mitigation Strategy
Ensure explicit documentation of infection link, Review coding guidelines
Impact
Reimbursement: Denial of claims, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate clinical data
Mitigation Strategy
Ensure documentation explicitly states UTI is catheter-associated.
Impact
Failure to document linkage can result in audit findings.
Mitigation Strategy
Ensure all documentation explicitly links UTI to catheter use.
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, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Foley Catheter
Use these documentation templates to ensure complete and accurate documentation for Foley Catheter. These templates include all required elements for proper coding and billing.
Routine Foley catheter change
Specialty: UrologyRequired Elements
- Catheter size
- Balloon volume
- Urine characteristics
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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