ICD-10 Coding for Urinary Retention with Foley Catheter(R33.0, R33.8, N39.0, Z46.82)
Complete ICD-10-CM coding and documentation guide for Urinary Retention with Foley Catheter. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Urinary Retention with Foley Catheter
R33Primary Range
Urinary retention
This range includes codes for different types of urinary retention, which are primary when coding for urinary retention with a Foley catheter.
Other disorders of urinary system
Includes codes for urinary tract infections associated with Foley catheters.
Encounter for fitting and adjustment of other devices
Used for encounters involving the fitting or adjustment of a Foley catheter.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| R33.0 | Drug-induced retention of urine | Use when urinary retention is directly linked to medication use. |
|
| R33.8 | Other retention of urine | Use for chronic retention or post-procedural retention. |
|
| N39.0 | Urinary tract infection, site not specified | Use when UTI is confirmed by culture in a patient with a Foley catheter. |
|
| Z46.82 | Encounter for fitting and adjustment of urinary device | Use for encounters involving Foley catheter maintenance. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for urinary retention with Foley
Essential facts and insights about Urinary Retention with Foley Catheter
Primary ICD-10-CM Codes for urinary retention with foley
Decision Criteria
clinical Criteria
- Retention occurs after starting a new medication.
Applicable To
- Retention due to medication
Excludes
- Retention not due to drugs
Clinical Validation Requirements
- Document drug name and temporal relationship to retention onset
Code-Specific Risks
- Misidentifying the cause of retention as drug-induced without clear documentation.
Coding Notes
- Ensure documentation specifies the drug causing retention.
R33.8 - Other retention of urine
Use for chronic retention or post-procedural retention.
Applicable To
- Chronic urinary retention
Excludes
- Acute retention without chronicity
Clinical Validation Requirements
- PVR >300mL on two measurements 6 months apart
Coding Notes
Ensure chronicity is documented with PVR measurements.
N39.0 - Urinary tract infection, site not specified
Use when UTI is confirmed by culture in a patient with a Foley catheter.
Applicable To
- Catheter-associated UTI
Excludes
- UTI with specified site
Clinical Validation Requirements
- Urine culture with >10^5 CFU/mL and symptoms
Coding Notes
Ensure culture results are documented.
Z46.82 - Encounter for fitting and adjustment of urinary device
Use for encounters involving Foley catheter maintenance.
Applicable To
- Foley catheter adjustment
Excludes
- Initial fitting of catheter
Clinical Validation Requirements
- Documentation of Foley adjustment or maintenance
Coding Notes
Always pair with a primary retention code.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Encounter for fitting and adjustment of urinary device
Z46.82Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Overflow incontinence
N39.46Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Urinary Retention with Foley Catheter to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R33.0.
Impact
Clinical: Inaccurate diagnosis of chronic retention., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Ensure PVR is measured and documented.
Impact
Reimbursement: Incorrect code may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Query provider for PVR data to support R33.8.
Impact
Reimbursement: Claims may be denied for lack of linkage., Compliance: Failure to meet coding standards., Data Quality: Incomplete clinical picture.
Mitigation Strategy
Always pair with R33.x.
Impact
Risk of coding chronic retention without proper documentation.
Mitigation Strategy
Ensure PVR measurements are documented.
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 Urinary Retention with Foley Catheter, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Urinary Retention with Foley Catheter
Use these documentation templates to ensure complete and accurate documentation for Urinary Retention with Foley Catheter. These templates include all required elements for proper coding and billing.
Chronic Retention with Foley Catheter
Specialty: UrologyRequired Elements
- PVR measurements
- Foley catheter details
- Culture results if applicable
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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