AHA Coding Clinic® for ICD-9 - 2012 Issue 1; Ask the Editor

Urinary Tract Infection Due to Poor Self-Catheterization Technique/Hygiene

A 50-year-old patient was recently discharged from the hospital with a diagnosis of sepsis due to a urinary source. Since being discharged, she has developed further nausea, vomiting, dysuria, fever, foul-smelling urine, and abdominal pain and was readmitted for management of her condition. The patient is status post colostomy and urostomy and the provider’s final diagnostic statement indicated sepsis secondary to urinary source (i.e., urinary tract infection). The provider was queried whether the patient’s urinary tract infection (UTI) was related to the urostomy. The provider documented “UTI due to poor self-catheterization technique/hygiene, status post urostomy.” How should a urostomy associated UTI due to poor self-catheterization technique/hygiene be coded? Is code 996.64, Infection and inflammatory reaction due to internal prosthetic device, implant and graft, due to indwelling urinary catheter, appropriate? ...

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