Coding, Classification & Reimbursement

Traumatic Foley Catherization resulting in hematuria

  • 1.  Traumatic Foley Catherization resulting in hematuria

    Posted 02-07-2017 15:38
    How would you assign Foley insertion by Provider resulting in trauma and gross hematuria? Urology was consulted but did not mention a specific injury. There are several coders debating T83.83xA versus N99.89 (based on literal translation of 997.5) or N99.820.

    ICD9 references:  Coding Clinics in 1st Quarter 2014, pp12-13 and p13, Nov-Dec 1984, p15 and Nov-Dec 1985, p15.

    I had another similar case where a patient had hemorrhage from an injured the brachial artery due to an arterial line being removed -I97.618 vs. T82.838A.
    Thanks for your input!
     .



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    Darlene Hyman, RHIA, CCS, COC
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  • 2.  RE: Traumatic Foley Catherization resulting in hematuria

    Posted 02-10-2017 13:06
    It is my understanding that if the condition is due to a device, then a T code should be used.  No catheter, no complication T code.   Therefore in your example, with traumatic foley and hematuria, I would use T83.73XA, hemorrhage due to GU device, implant, graft.  No other code since we have a hemorrhage in the code title.  
    I was originally going to Other specified complication, T83.89XA, but like your code better.

    Per the Coding Handbook:  33 COMPLICATIONS DUE TO PRESENCE OF INTERNAL DEVICE, IMPLANT, OR GRAFT

    Categories T82 through T85 classify conditions that occur only because an internal device, implant, or graft is present


    The complication codes at the end of the chapters tend to be organ specific due to surgery, at least that's my thinking at the moment. Hemorrhage post-op CABG - use an I code.



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    Hope this helps
    Jennifer Ritter, BS, RHIT, CCS
    Coding Manager/Educator
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  • 3.  RE: Traumatic Foley Catherization resulting in hematuria

    Posted 02-12-2017 11:12
    I posed this question to Coding Clinic on 9/23/16.   When I get a response I will share. 

    Current status on AHA site reads: The question has been successfully submitted, but not yet assigned for review

    And in case you are counting  , , , That is 142 days since the question was submitted. 

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    [Maggie] [Foley]
    [Associate Professor]
    [Temple University]
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  • 4.  RE: Traumatic Foley Catherization resulting in hematuria

    Posted 11 days ago
    Have you had a response to the Coding Clinic submission?

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    Samantha Yoder
    Inpatient Coder/Auditor
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  • 5.  RE: Traumatic Foley Catherization resulting in hematuria

    Posted 8 days ago
    Hi all

    Unfortunately, the following language is included in private responses from Coding Clinic:

    "This information is provided for individual reference only. Any reprint or distribution of all or part of this correspondence, without the express written consent of the American Hospital Association's Central Office on ICD-10-CM and ICD-10-PCS, is strictly prohibited."

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    [Maggie] [Foley]
    [Associate Professor]
    [Temple University]
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