RMC’s AHIMA Approved ICD-10 Trainers meet multiple times per week fielding questions from clients and staff.  Below is an actual question that was submitted, along with our team’s response. *

CODING QUESTION:  What code are we using in I-10 for a patient who develops a UTI from self-caths?   The initial Foley cath was removed and then the patient started to self-cath.  I’m looking at code T83.89XA??  Or N99.89 post proc genitourinary complication??  The second code seems more in tune with what we used previously in I-9 for this.

  1. Sepsis (tachycardia and leukocytosis on presentation) due catheter-related UTI (has had prior indwelling catheter which was removed then patient self- catheterizing himself). BP and lactate normal. No fever and leukocytosis better but still tachycardic

– cont IV rocephin pending culture data

– cont IVF       

RMC RESPONSE:  T83.59XA- Infection and inflammatory reaction due to prosthetic device implant and graft in urinary system, initial encounter and a code for the sepsis and UTI would be the best codes for this scenario.

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 * Every effort has been made to answer these questions to the best of RMC’s abilities, at the time the original question was submitted.  Answers should not be considered official coding advice, and we always encourage conversation and dialogue regarding our responses.  As best practice policy, always be sure to refer to your Official Coding Guidelines, Coding Clinic, CPT Assistant, etc.