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2025 ICD-10-CM code T80.211

Bloodstream infection due to a central venous catheter.

Adhere to current ICD-10-CM coding guidelines and official coding manuals for proper classification and accurate representation of the diagnosis. Use appropriate additional codes to fully describe the patient's condition, including severity and related complications.

Modifiers may be applicable depending on the specific circumstances and the services provided. Consult the appropriate coding guidelines and payer-specific rules for modifier usage.

Medical necessity is established by the presence of clinical findings consistent with a bloodstream infection, laboratory confirmation of bacteremia related to the central venous catheter, and the need for medical intervention (e.g., antibiotic treatment, catheter removal) to address the infection.

The clinical responsibility for this code falls upon the physician managing the patient with the catheter-related bloodstream infection. This includes diagnosis, treatment (antibiotic administration, catheter removal), monitoring, and overall care of the patient.The physician may involve other healthcare professionals such as nurses and infectious disease specialists.

IMPORTANT:Consider using additional codes (R65.2-) for severe sepsis if applicable.Also, codes T82.6-T82.7, T83.5-T83.6, T84.5-T84.7, T85.7 should be considered for infections due to prosthetic devices, implants, and grafts.T81.4- should be used for postprocedural infections not directly related to the catheter.

In simple words: This code is for a blood infection caused by a central venous catheter (a type of tube placed in a large vein).The infection is directly related to the catheter.

This code signifies a bloodstream infection that originates from a central venous catheter.It encompasses infections caused by various types of central venous catheters, including Hickman catheters, peripherally inserted central catheters (PICCs), portacaths, pulmonary artery catheters, triple-lumen catheters, and umbilical venous catheters.The infection is specifically attributed to the presence of the catheter and is not due to another underlying cause.This code excludes infections related to prosthetic devices, implants, and grafts, as well as postprocedural infections not directly caused by the catheter itself.

Example 1: A 65-year-old male patient is admitted to the hospital with fever, chills, and hypotension. Blood cultures reveal Staphylococcus aureus.He has a central venous catheter in place for intravenous chemotherapy.Code T80.211 is used to bill for the catheter-related bloodstream infection., A 72-year-old female patient with a history of heart failure develops a fever and positive blood cultures for Pseudomonas aeruginosa while receiving total parenteral nutrition via a central venous catheter.T80.211 accurately reflects the diagnosis of catheter-related bloodstream infection., A 28-year-old patient with a PICC line for long-term antibiotic administration develops symptoms suggestive of sepsis. Blood cultures grow methicillin-resistant Staphylococcus aureus (MRSA). The patient undergoes catheter removal, and IV antibiotics are initiated. T80.211 accurately reflects the diagnosis of a catheter-related bloodstream infection caused by a PICC line.

Complete documentation should include positive blood cultures identifying the causative organism, evidence of catheter involvement (e.g., catheter tip culture), clinical signs and symptoms of infection (fever, chills, hypotension), and a clear temporal relationship between the catheter insertion and the onset of infection.Complete medical history and relevant lab reports are also required.

** This code is highly specific to infections directly caused by the presence of a central venous catheter.It requires thorough documentation to ensure appropriate coding and billing.Always review the most recent updates and guidelines for ICD-10-CM coding.Consider using additional codes to further describe the severity of the infection or any co-morbidities.

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