AHA Coding Clinic® for ICD-9 - 2012 Issue 2; Ask the Editor

Self-Inflicted Peripherally Inserted Central Catheter (PICC) Infection

The patient is a 22-year-old male with a history of acute myeloid leukemia in remission, status post double cord blood (stem cell) transplant. He developed a peripherally inserted central catheter (PICC) line infection, which required removal of the PICC line. The provider noted that the patient had been tampering with his intravenous (IV) line and it was the likely source of his bacteremia/sepsis. The provider also stated that since there is clear evidence of patient tampering, the line infection was not hospital acquired. It was self-inflicted. The patient was discharged without a PICC line due to his drug dependence and drug seeking behavior. What is the correct diagnosis code assignment for a “self-inflicted” line infection? ...

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