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
Presence of other devices
Codes for presence of various indwelling devices, including urinary catheters.
Complications of genitourinary devices
Covers mechanical complications like blockage or displacement, not just presence.
Other disorders of urethra and urinary tract
A broader category that may be relevant depending on the context of catheter use.
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?
When to use each related code
| Description |
|---|
| Presence of Foley Catheter |
| Urinary Tract Infection |
| Urinary Retention |
Coding lacks specificity (e.g., indwelling, intermittent) impacting reimbursement and quality metrics. CDI can query for clarification.
Missing insertion date prevents accurate tracking of duration and potential complications like CAUTI. CDI should query for date.
Continued catheterization without justification poses infection risks and impacts quality measures. Audit for appropriateness.
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.