ICD-10 Coding for Indwelling Foley Catheter(Z46.82, T83.0-, N39.0)
Complete ICD-10-CM coding and documentation guide for Indwelling Foley Catheter. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Indwelling Foley Catheter
Z46.82Primary Range
Encounter for fitting and adjustment of urinary devices
Used for encounters focused on the fitting or adjustment of urinary devices such as Foley catheters.
Mechanical complication of urinary catheter
Used for mechanical complications related to urinary catheters, such as obstruction or displacement.
Urinary tract infection, site not specified
Used when a urinary tract infection is associated with the use of an indwelling catheter.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| Z46.82 | Encounter for fitting and adjustment of urinary devices | Use when the primary reason for the encounter is the fitting or adjustment of a urinary device. |
|
| T83.0- | Mechanical complication of urinary catheter | Use when there is a documented mechanical complication of the catheter. |
|
| N39.0 | Urinary tract infection, site not specified | Use when a UTI is confirmed and linked to catheter use. |
|
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 indwelling Foley catheter
Essential facts and insights about Indwelling Foley Catheter
Primary ICD-10-CM Codes for indwelling foley catheter
Decision Criteria
clinical Criteria
- Encounter focused on urinary device management
Applicable To
- Routine maintenance of urinary devices
- Catheter changes without complications
Excludes
- Complications of urinary devices (T83.0-)
Clinical Validation Requirements
- Documentation of catheter fitting or adjustment
- No complications present
Code-Specific Risks
- Incorrectly using for encounters with complications
Coding Notes
- Ensure documentation specifies the encounter is for fitting or adjustment.
T83.0- - Mechanical complication of urinary catheter
Use when there is a documented mechanical complication of the catheter.
Applicable To
- Obstruction
- Displacement
- Balloon rupture
Excludes
- Infections due to urinary catheter (T83.5-)
Clinical Validation Requirements
- Documentation of mechanical issues such as leakage or obstruction
- Imaging or clinical notes confirming complication
Coding Notes
Ensure mechanical complication is clearly documented.
N39.0 - Urinary tract infection, site not specified
Use when a UTI is confirmed and linked to catheter use.
Applicable To
- UTI associated with catheter use
Excludes
- Cystitis (N30.-)
Clinical Validation Requirements
- Positive urine culture
- Provider documentation linking UTI to catheter
Coding Notes
Ensure UTI is documented as catheter-associated.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Indwelling Foley Catheter to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z46.82.
Impact
Clinical: Potential for incorrect catheter management, Regulatory: Non-compliance with documentation standards, Financial: Risk of claim denial
Mitigation Strategy
Standardize documentation templates, Educate staff on documentation requirements
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on catheter-related complications.
Mitigation Strategy
Use T83.0- for mechanical complications and document appropriately.
Impact
Failure to document complications can lead to audit findings.
Mitigation Strategy
Ensure all complications are documented and coded correctly.
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 Indwelling Foley Catheter, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Indwelling Foley Catheter
Use these documentation templates to ensure complete and accurate documentation for Indwelling Foley Catheter. These templates include all required elements for proper coding and billing.
Inpatient Foley Catheter Insertion
Specialty: UrologyRequired Elements
- Catheter size and type
- Balloon inflation volume
- Insertion technique
- Urine characteristics
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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