UTI due to I/O cath

Comments

• lsipos@monument.health

  November 2012 edited May 2016

  IS A COMPLICATION CODE..CORRECT 99665
  
  Juli Bovard RN
  Regional Health
  Rapid City, SD 57703
  
  
• lsipos@monument.health

  November 2012 edited May 2016

  I/o cath...are you talking about a straight cath??
  
  Juli
  
  
• ddouthit

  November 2012 edited May 2016

  Dana,
  
  996.65 Infection and inflammatory reaction due to other genitourinary device/implant/graft.
  
  996.64 if for UTI secondary to indwelling foley catheter.
  
  I believe that a i/o cath would definitely fall under other genitourinary device thus a 996.65 would be appropriate.
  
  There is not a cc that speaks directly to this.
  
  Dorie Douthit, RHIT,CCS
  
  
• dvitalone1

  November 2012 edited May 2016

  Is an I/O cath similar to a Texas cath? It resembles a condom with adhesive? IF so would 996.65 or 996.64 be correct?
  
  
  
• dwalker2

  November 2012 edited May 2016

  Yes, the I/O cath is a straight cath.
  
  Thanks for the prompt feedback!
  
  Dana
  
  
• lprescott

  November 2012

  I was always taught yes this is complication of device code. for every UTI admission we look to see if there is a possible relationship to a cath and query if indicated.
  Laurie L. prescott RN, MSN, CCDS
• angelamckee@uh.org

  November 2012 edited May 2016

  I have to step in with my coding/auditing background. This is not a complication code.  996.6x codes only apply to internal prosthetic devices.    Although electronic coding (3M, etc) does not tell you that the code book does. The device must be indwelling. A straight cath or in/out cath is notan internal prosthetic device. Code 996.64 is for use of UTI due to indwelling urinary catheters. Code 996.65 is for use of other indwelling genitourinarydevices such as IUDs.  Thank you,
  
  Angie McKee, RHIT, CCDS, CCS, CCS-P
  AHIMA Approved ICD 10 Trainer
  Clinical Documentation Specialist
  Performance Improvementangelamckee@uh.org
  University Hospital
  1350 Walton Way,
  Augusta, Ga 30901
  
  
• sharon.cole

  November 2012 edited May 2016

  Here's a coding clinic on that issue:
  AHA Coding Clinic(r) for ICD-9-CM, 1Q 2012, Volume 29, Number 1, Pages 11&12
  
  Question:
  A 50-year-old patient was recently discharged from the hospital with a diagnosis of sepsis due to a urinary source. Since being discharged, she has developed further nausea, vomiting, dysuria, fever, foul-smelling urine, and abdominal pain and was readmitted for management of her condition. The patient is status post colostomy and urostomy and the provider's final diagnostic statement indicated sepsis secondary to urinary source (i.e., urinary tract infection). The provider was queried whether the patient's urinary tract infection (UTI) was related to the urostomy. The provider documented "UTI due to poor self-catheterization technique/hygiene, status post urostomy." How should a urostomy associated UTI due to poor self-catheterization technique/hygiene be coded? Is code 996.64, Infection and inflammatory reaction due to internal prosthetic device, implant and graft, due to indwelling urinary catheter, appropriate?
  Answer:
  Assign code 997.5, Urinary complications, for the urostomy associated UTI, resulting from poor self-catheterization technique/hygiene. This code includes conditions associated with an external stoma of the urinary tract. Assign also code 599.0, Urinary tract infection, site not specified. The POA indicator of "Y" will clarify that the condition was present on admission, and is not hospital acquired. Additionally, code 996.64, Infection and inflammatory reaction due to internal prosthetic device, implant and graft, due to indwelling urinary catheter, is not appropriate since a urostomy is not an indwelling catheter. A urostomy is a surgically created opening in the abdominal wall that redirects urine and allows it to flow to the outside of the body.
  
  
  Sharon Cole, RN, CCDS
  Providence Health Center
  Case Management Dept
  254.751.4256
  Sharon.cole@phn-waco.org