ICD-10 Coding for Catheter-Associated Urinary Tract Infection(T83.511A)
Complete ICD-10-CM coding and documentation guide for Catheter-Associated Urinary Tract Infection. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Catheter-Associated Urinary Tract Infection
Key Information: ICD-10 code for CAUTI
Essential facts and insights about Catheter-Associated Urinary Tract Infection
Primary ICD-10-CM Code for cauti
Decision Criteria
documentation Criteria
- Explicitly state 'due to indwelling catheter' in the documentation.
Applicable To
- CAUTI
Excludes
- N39.0 (UTI, site not specified)
Clinical Validation Requirements
- Documented causal relationship between UTI and catheter
- Positive urine culture ≥10⁵ CFU/mL
- Symptoms such as fever, suprapubic tenderness
Code-Specific Risks
- Assuming causation without explicit documentation
- Incorrect sequencing with sepsis codes
Coding Notes
- Ensure explicit documentation linking the UTI to the catheter.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Escherichia coli [E. coli] as the cause of diseases classified elsewhere
B96.2Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Urinary tract infection, site not specified
N39.0Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Catheter-Associated Urinary Tract Infection to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code T83.511A.
Impact
Clinical: Misrepresentation of infection source., Regulatory: Non-compliance with ICD-10 guidelines., Financial: Potential loss of reimbursement.
Mitigation Strategy
Ensure documentation explicitly links UTI to catheter., Review coding guidelines for CAUTI.
Impact
Reimbursement: Potential underpayment if CAUTI is not coded correctly., Compliance: Risk of non-compliance with coding guidelines., Data Quality: Inaccurate data on infection rates and causes.
Mitigation Strategy
Ensure documentation explicitly states the UTI is due to the catheter.
Impact
Risk of audit if CAUTI is not explicitly documented.
Mitigation Strategy
Implement documentation templates that require explicit causal language.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Catheter-Associated Urinary Tract Infection, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Catheter-Associated Urinary Tract Infection
Use these documentation templates to ensure complete and accurate documentation for Catheter-Associated Urinary Tract Infection. These templates include all required elements for proper coding and billing.
Hospital-acquired CAUTI
Specialty: UrologyRequired Elements
- Catheter insertion details
- Symptom onset
- Urine culture results
- Explicit causal language
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Catheter-Associated Urinary Tract Infection? Ask your questions below.