Find information on Indwelling Foley Catheter presence, including clinical documentation tips, medical coding guidelines, and healthcare best practices. Learn about accurate diagnosis coding for Foley catheter insertion, catheter maintenance, and catheter removal. This resource addresses common searches related to urinary catheterization, including CAUTI prevention, documentation requirements, and appropriate ICD-10 codes for an indwelling urinary catheter. Explore relevant information for physicians, nurses, and medical coders seeking accurate and comprehensive guidance on managing and documenting indwelling Foley catheters.
Also known as
Presence of other external prosthetic devices
Codes for the presence of various external prosthetic devices, including catheters.
Mechanical complication of other genitourinary prosthetic devices, implants and grafts
Covers complications related to genitourinary prosthetic devices like catheters.
Cystitis
While not solely for catheter presence, it's relevant for catheter-associated UTIs.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the Foley catheter present for a specific medical condition?
Yes
Is the condition urinary retention?
No
Is catheter for long-term care?
When to use each related code
| Description |
|---|
| Indwelling Foley Catheter |
| Catheter-Associated UTI |
| Urinary Retention with Catheter |
Coding lacks specificity (e.g., indwelling urinary vs. other) leading to inaccurate reimbursement and quality data.
Lack of documented insertion date prevents accurate tracking of catheter days, impacting infection surveillance and reporting.
Documentation lacks clear medical necessity for catheter use, posing risks for inappropriate utilization and potential complications.
Indwelling Foley catheter present. The patient has an indwelling urinary catheter (Foley catheter) in place. Catheter insertion indication documented as (reason for insertion, e.g., urinary retention, acute urinary incontinence, perioperative management, accurate output monitoring). Catheter size and type noted (e.g., 16 French, 2-way Foley). The insertion site appears clean and dry, without signs of erythema, exudate, or edema. Urine output is (characterize output, e.g., clear, yellow, cloudy, bloody; volume, e.g., adequate, minimal, excessive). Catheter care provided as per protocol, including regular perineal hygiene. Continued need for indwelling Foley catheter will be reassessed (frequency of reassessment, e.g., daily) and removed as soon as clinically appropriate to minimize the risk of catheter-associated urinary tract infection (CAUTI). Patient education provided regarding catheter care and signs and symptoms of infection. Plan to monitor urine output and catheter site for any complications. ICD-10 code Z99.11 (Presence of urinary catheter) applicable. CPT code for catheter insertion (if performed during this encounter) may include 51701, 51702, or 51703 depending on the complexity of the insertion.