Suprapubic Catheter Dysfunction ICD-10-CM Codes | 2023

What ICD-10 Codes are Used for Suprapubic Catheter Dysfunction?

Suprapubic catheter dysfunction refers to complications arising from using a surgically inserted catheter through the abdomen into the bladder. This method is often chosen for long-term urinary drainage when urethral catheterization is not feasible or is contraindicated. 

The dysfunction can result from various issues, including blockages, kinks, infections, or other mechanical problems. Accurate documentation and categorizing these complications are crucial for patient care and billing. 

The ICD-10-CM provides a comprehensive set of codes to address these issues. Here's a deeper dive into some of the frequently used codes for suprapubic catheter dysfunction:

• T83.098A - Other mechanical complication of other urinary devices and implants, initial encounter: This code is comprehensive and can be used to document a variety of mechanical complications associated with urinary devices, including but not limited to suprapubic catheters. It's especially relevant for initial encounters where the specific nature of the complication might not yet be fully diagnosed.
• T83.090A - Mechanical complication of unspecified urinary device, implant, and graft, initial encounter: This is a more general code, used when a mechanical complication is identified, but the specific device causing the issue isn't detailed. It's a placeholder until a more specific diagnosis can be made.
• T83.198A - Other mechanical complication of other genitourinary device, implant, and graft, initial encounter: This code is used for other types of mechanical complications not specified elsewhere, related to any genitourinary device. It provides a broader category that includes devices beyond just catheters.
• T83.091A - Mechanical complication of an indwelling urinary catheter, initial encounter: This code is more specific to indwelling urinary catheters, including urethral and suprapubic catheters. It's particularly useful when the complication is tied to the catheter.

Healthcare providers must stay updated on the latest coding guidelines and ensure that the most accurate and specific code is used for each patient's situation. Proper coding not only facilitates accurate billing but also aids in tracking patient outcomes and complications over time.

For a more detailed understanding of suprapubic catheter dysfunction and its related ICD-10 codes, refer to our Suprapubic Catheter Dysfunction ICD Codes.

Which Suprapubic Catheter Dysfunction ICD codes are Billable?

• T83.098A: Yes
• T83.090A: Yes
• T83.198A: Yes
• T83.091A: Yes

Clinical Information

Suprapubic catheters are an alternative to traditional urethral catheters for long-term urinary drainage. They are surgically inserted through a small incision in the lower abdomen, allowing direct access to the bladder.

Reasons for Using Suprapubic Catheters

• They are often chosen for patients with urethral obstructions, strictures, or other conditions that make urethral catheterization challenging or contraindicated.
• They can also benefit patients at risk of frequent urinary tract infections with urethral catheters.

Potential Complications and Dysfunctions

• Blockages can occur from sediment build-up or blood clots, preventing urine from draining properly.
• Kinking or twisting of the catheter tube can obstruct the flow of urine.
• Mechanical issues like valve malfunction or breakage can also lead to dysfunction.
• Over time, the catheter site may become infected, or the surrounding skin may show signs of irritation or breakdown.

Symptoms Indicating Dysfunction

• Abdominal pain or discomfort, especially localized around the catheter site.
• Noticeably decreased urine output or complete cessation of drainage.
• Signs of urinary tract infections, such as cloudy or foul-smelling urine, fever, or chills.
• Visible blood in the urine or around the catheter site.

Management and Treatment

• Immediate medical evaluation is crucial if any signs of catheter dysfunction are observed.
• Treatment may involve flushing the catheter, adjusting its position, or replacing it entirely.
• In cases of infection, antibiotics may be prescribed, and the catheter might need to be changed.
• Regular monitoring and routine care of the catheter site can prevent many complications.

Synonyms Include:

• Suprapubic catheter blockage
• Suprapubic catheter kinking
• Suprapubic catheter malfunction
• Suprapubic catheter complication
• Suprapubic catheter issue