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Local infection due to central venous catheter, subsequent encounter
ICD10CM code
#### Name of the Condition
- Local infection due to central venous catheter, subsequent encounter (ICD-10 Code: T80.212D)
#### Summary
This condition refers to a localized infection occurring at the site of a central venous catheter, which is a tube placed into a large vein to deliver medication or nutrients. A "subsequent encounter" denotes that the patient is receiving follow-up care for this infection.
#### Causes
The infection is usually due to bacteria or fungi entering the body through the catheter insertion site. It can occur if the catheter is not placed or maintained using sterile techniques.
#### Risk Factors
- Prolonged use of central venous catheters
- Hospital stays, especially in intensive care units
- Weakened immune system
- Poor catheter maintenance
#### Symptoms
- Redness, swelling, or warmth around the catheter site
- Fever or chills
- Drainage of pus or fluid from the insertion site
#### Diagnosis
- Blood cultures to identify the presence of bacteria or fungi
- Physical examination of the catheter site
- Imaging studies, if needed, to check for deeper infections
#### Treatment Options
- Removal or replacement of the catheter
- Antibiotic or antifungal medications to treat the infection
- Antiseptic dressings to maintain site cleanliness
#### Prognosis and Follow-Up
With prompt treatment, the prognosis is generally good. Regular follow-ups are important to ensure the infection has cleared and to monitor for potential complications.
#### Complications
- Spread of infection to the bloodstream (sepsis)
- Thrombosis (blood clots) at the site
- Organ dysfunction in severe cases
#### Lifestyle & Prevention
- Ensure proper hygiene and care for the catheter
- Follow medical instructions on catheter maintenance
- Regularly monitor the site for any signs of infection
#### When to Seek Professional Help
Immediate medical attention is needed if there are signs of infection such as high fever, increased pain, or pus at the catheter site.
#### Additional Resources
- [Centers for Disease Control and Prevention (CDC)](https://www.cdc.gov)
- [World Health Organization (WHO)](https://www.who.int)
- Patient support groups for individuals with long-term catheter use
#### Tips for Medical Coders
- Ensure correct sequencing of the ICD code by verifying it's indeed a subsequent encounter.
- Avoid confusion with initial encounter codes that are used for the first treatment of an active infection.