Iatrogenic, infection, urinary catheter
| ICD10 Diagnosis | |
| Dx: | Iatrogenic, infection, urinary catheter |
| ICD10 code: | T83.5 |
| Pre-ICD10 counterpart: | Pyelonephritis (Kidney Infection/Abcess), Cystitis (Bladder Infection) |
| Charlson/ALERT Scale: | none |
| APACHE Como Component: | none |
| APACHE Acute Component: | none |
| Start Date: | |
| Stop Date: | |
| External ICD10 Documentation | |
This diagnosis is a part of ICD10 collection.
Additional Info
Excludes:
- Includes
- Foley infection
- suprapubic catheter-related infection
- Here is the CDC definition we will use:
- UTI where an indwelling urinary catheter was in place for >2 calendar days (or >48 hrs) as of the date the infection was identified as being present AND the catheter was in place on the day the infection was identified or the day before --- this latter phrase allows for diagnosing a urinary catheter-related infection the day after it was removed (but no later than that) if it had been in place >2 days or 48 hours prior to removal.
- This code identifies the mechanism of the infection, you must also code the infection (e.g. cystitis, pyelonephritis, etc)
- This code can be used as an Admit Diagnosis for someone admitted from outside the hospital with acute infection from an indwelling urinary catheter (i.e. the it can be iatrogenic even if it doesn't happen in hospital).
- This is one of a number of different types of iatrogenic injury codes. Here is information about all of them; Iatrogenic codes in ICD10
Alternate ICD10s to consider coding instead or in addition
- Any of the other iatrogenic injury codes: see Iatrogenic codes in ICD10
- Hemoglobinuria
Candidate Combined ICD10 codes
- Kidney infection, acute (pyelonephritis)
- Kidney infection, chronic (pyelonephritis)
- Kidney, renal abscess or perinephric abscess
- Bladder, cystitis, acute infectious
- Bladder, cystitis, chronic
- Urethra, infectious or noninfectious urethritis
- Urinary tract infection, NOS
- Prostate, acute prostatitis
- Prostate, chronic prostatitis
- Prostate, abscess
Infections
Infections in ICD10 have combined coding requirements for some of their pathogens. Any that have antibiotic resistances would store those as Combined ICD10 codes as well. If the infection is acquired in the hospital, see Nosocomial infection, NOS. See Lab and culture reports for confirmation and details about tests. See Infections in ICD10 for more general info.
Possible Simultaneous Presence of Multiple Different Types of Infection in a Single Site
- This refers to the situation where there may be simultaneous infection with multiple types of organisms -- e.g. 2 of bacteria, virus, fungus. While a classic example is a proven viral pneumonia (e.g. influenza) with a suspected/possible bacterial pneumonia superimposed, this kind of thing can occur in places other than the lungs, e.g. meningitis.
- The "signature" of this is typically the patient being treated simultaneously with antimicrobial agents for multiple types of organisms. BUT don't confuse this with there being infections at DIFFERENT body sites.
- As per our usual practice, we will consider a diagnosis as present if the clinical team thinks it's present and are treating it, with the exception that the team initially treated for the possible 2nd type of infection but then decided it likely was NOT present and stopped those agents.
- And remember that Infectious organism, unknown is used when the the specific organism is unknown (this could be not knowing the TYPE of organism, or suspecting the type but not having identified the specific organism of that type), while when the organism has been identified but it's not in our bug list, THEN use Bacteria, NOS, Virus, NOS or Fungus or yeast, NOS.
Attribution of infections
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