AHA Coding Clinic® for ICD-9 - 2012 Quarter 2; Clarifications
Catheter-Associated Urinary Tract Infection (CAUTI)
We are seeking clarification regarding the advice previously published in Coding Clinic , Third Quarter 2009, pages 9-10, regarding the coding of catheter-associated urinary tract infection (CAUTI) when the patient has an indwelling catheter and then develops a urinary tract infection (UTI). If there is no provider documentation of CAUTI, but there is documentation that the patient has a UTI and it is noted that the patient has an indwelling catheter, can a coder automatically assign code 996.64 , Infection and inflammatory reaction due to indwelling urinary catheter? ...
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Article Overview
This article addresses a Coding Clinic clarification on catheter-associated urinary tract infection documentation in the setting of an indwelling urinary catheter and a later urinary tract infection diagnosis. It is aimed at coders and coding professionals who need to understand when the record supports assigning catheter-related infection coding and how the guidance was clarified in relation to prior published advice. The discussion focuses on documentation expectations and the general coding context involved in urinary catheter-associated infection reporting.
Why This Topic Matters
Accurate coding of catheter-associated urinary tract infection depends on provider documentation, so this clarification helps coding staff determine when the record supports a catheter-related infection assignment and when it does not.
What You Will Learn
- The documentation context for catheter-associated urinary tract infection
- How the article frames a Coding Clinic clarification
- The relationship between an indwelling urinary catheter and urinary tract infection documentation
- The type of provider documentation discussed in the guidance
Who Should Read This
- Medical coders
- Coding managers
- Clinical documentation specialists
- Compliance professionals
- Health information management staff
Codes Discussed
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