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Medical Coding News Archives

New I-9 Code for CRBSI Proves Tricky for Coders

 
October 16, 2007:
Effective October 1, coding infections due to central venous catheters became more difficult with the creation of new code 999.31.

999.31 Infection due to central venous catheter—(Use additional code to identify the specified infection)

Code 999.31 specifically identifies central-line-associated infection (i.e., infection due to central venous catheter), which was previously reported with 996.62. However, 996.62 has been revised to report infection and inflammatory reaction of a peripheral venous catheter and specifically excludes infection of central venous catheters such as a Hickman catheter, peripherally inserted central catheter (PICC), and triple lumen catheter. Infection of these types of catheters should be reported using 999.31.

In subcategory 999.3, code 999.31 specifically identifies central-line-associated infection (i.e., infection due to central venous catheter [catheter-related bloodstream infection, or CRBSI]), which was reported with 996.62 before October 1, 2007. Code 996.62 has been revised to report infection and inflammatory reaction due to a peripheral venous or arterial catheter. Code 999.39 specifically identifies sepsis, septicemia, and infection following or due to other infusion, injection, transfusion, or vaccination. When reporting sepsis or septicemia associated with codes classifiable to subcategory 999.3, an additional code should be reported to identify the specific infection, such as septicemia (038.0–0.38.89).

Documentation Issues
Infections classifiable to 999.31 may be documented as:
n Catheter-related bloodstream infection (CRBSI); septicemia, or sepsis due to the presence of central venous catheter
n Infection due to Hickman catheter, peripherally inserted central catheter (PICC line), or triple lumen catheter

Deborah C. Hall
Clinical/Technical Editor

 

 
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