UTI d/t intermittent catheter
Pt is a paraplegic, chart states she developed a UTI from self-catheterization. Would you take 997.5, urinary complication, or 599.0, UTI, as pdx? I have reviewed coding clinics and done searches and still don't have a definitive answer.
Thx,
Renee
Linda Renee Brown, RN, CCRN, CCDS
Certified Clinical Documentation Specialist
Banner Good Samaritan Medical Center
Thx,
Renee
Linda Renee Brown, RN, CCRN, CCDS
Certified Clinical Documentation Specialist
Banner Good Samaritan Medical Center
Comments
Is it actually ok to code an indwelling catheter when it's an intermittent catheter? I just can't find a single reference that leads me where to code a UTI caused by a patient catheterizing herself. 996.64 specifically says indwelling.
Thx.
Renee
Linda Renee Brown, RN, CCRN, CCDS
Certified Clinical Documentation Specialist
Banner Good Samaritan Medical Center
If the UTI is specifically documented as being due to the self catheterizations, it is correct to use a code from category 996; however, code 996.64 does specifically state due to indwelling urinary catheter which is not the device documented in the above stated scenario. There is not a specific code for infection related to straight catheterizations. Due to the limited specificity in ICD-9-CM, this type of urinary catheter would be grouped with other genitourinary devices under code 996.65
My opinion, anyway!
Sharon Cooper, RN-BC, CCDS, CCA
Manager Clinical Documentation