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Z93.59
ICD-10-CM
Presence of Foley Catheter

Find information on Foley catheter presence, including clinical documentation tips, medical coding guidelines (ICD-10 Z93.4), and healthcare best practices for indwelling urinary catheters. Learn about appropriate use, catheter care, and potential complications related to Foley catheter insertion and management. This resource provides accurate and relevant information for physicians, nurses, and other healthcare professionals involved in patient care with urinary catheters.

Also known as

Indwelling Urinary Catheter
Foley Catheterization

Diagnosis Snapshot

Key Facts
  • Definition : A flexible tube inserted into the bladder to drain urine.
  • Clinical Signs : Visible catheter, urine drainage bag, potential discomfort.
  • Common Settings : Hospitals, nursing homes, home care settings.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC Z93.59 Coding
Z45.0-Z45.9

Presence of other devices

Codes for presence of various indwelling devices, including urinary catheters.

T83.0-T83.9

Complications of genitourinary devices

Covers mechanical complications like blockage or displacement, not just presence.

N79.0-N79.9

Other disorders of urethra and urinary tract

A broader category that may be relevant depending on the context of catheter use.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is the Foley catheter presence documented as a current condition?

  • Yes

    Is there a documented complication?

  • No

    Is the catheter status past or historical?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Presence of Foley Catheter
Urinary Tract Infection
Urinary Retention

Documentation Best Practices

Documentation Checklist
  • Foley catheter size/type (e.g., 16Fr, 2-way)
  • Date/time of Foley insertion
  • Indication for Foley catheterization
  • Amount/color of urine output
  • Catheter care/maintenance documented

Coding and Audit Risks

Common Risks
  • Unspecified Type

    Coding lacks specificity (e.g., indwelling, intermittent) impacting reimbursement and quality metrics. CDI can query for clarification.

  • Placement Date Missing

    Missing insertion date prevents accurate tracking of duration and potential complications like CAUTI. CDI should query for date.

  • Unnecessary Prolonged Use

    Continued catheterization without justification poses infection risks and impacts quality measures. Audit for appropriateness.

Mitigation Tips

Best Practices
  • Document Foley insertion date, size, and indication.
  • Regularly assess Foley necessity and document removal promptly.
  • Ensure proper Foley care to prevent CAUTI. Document catheter care.
  • Code Foley presence accurately using ICD-10-CM/PCS guidelines.
  • Educate staff on Foley documentation and CDI best practices.

Clinical Decision Support

Checklist
  • Verify catheter visualized/palpated.
  • Confirm catheter balloon inflated.
  • Check urine output from catheter.
  • Document catheter size and type.

Reimbursement and Quality Metrics

Impact Summary
  • Reimbursement and Quality Metrics Impact Summary: Presence of Foley Catheter
  • ICD-10-PCS Z93.4, CPT 51701-51703: Foley catheter insertion, coding, billing
  • Impact 1: Accurate coding impacts MS-DRG assignment and reimbursement.
  • Impact 2: Catheter days are a quality metric tied to CAUTI prevention.
  • Impact 3: Documentation crucial for appropriate billing and infection tracking.
  • Impact 4: Affects hospital-acquired condition reporting and value-based purchasing.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes for . Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code Z99.11 for indwelling Foley
  • Document catheter type/size
  • Verify necessity in clinical notes
  • Check placement confirmation
  • Query physician if unclear

Documentation Templates

Indwelling Foley catheter present.  Urinary catheterization performed for (reason for catheterization, e.g., acute urinary retention, perioperative bladder management, accurate intake and output monitoring, neurogenic bladder). Catheter size (French size) noted.  Catheter balloon inflated with (volume) mL of sterile water.  Urine output is (characterize output: clear, yellow, cloudy, bloody; amount).  Catheter insertion site and surrounding skin assessed; no signs of erythema, edema, or drainage observed.  Patient education provided regarding catheter care and hygiene.  Continued catheter assessment and care per protocol. Plan to discontinue Foley catheter when clinically indicated (e.g., postoperatively, resolution of urinary retention, return of spontaneous voiding).  ICD-10 code Z99.11 (presence of urinary catheter) may be applicable for billing and coding purposes. This documentation supports medical necessity for ongoing catheter management.