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Displacement of other urinary catheter, initial encounter
ICD10CM code
#### Name of the Condition
- Displacement of Other Urinary Catheter, Initial Encounter (ICD-10 Code: T83.028A)
#### Summary
- This condition refers to the unintended displacement or malposition of a urinary catheter that is not specified as a Foley or a urethral catheter. The incident is noted during the patient's initial medical encounter.
#### Causes
- Displacement of a urinary catheter may occur due to improper insertion technique, accidental pulling on the catheter, or inadequate securing of the catheter to the patient.
#### Risk Factors
- Patients are at a higher risk of catheter displacement if they are very young or elderly, have limited mobility, are agitated or confused, or have an underlying medical condition affecting bladder function.
#### Symptoms
- Symptoms may include decreased urine output, urine leakage around the catheter, bladder discomfort, pain at the catheter site, or bleeding.
#### Diagnosis
- Diagnosis is typically made through physical examination and patient symptom report. Imaging, such as an ultrasound, may be used to assess catheter positioning if needed.
#### Treatment Options
- Treatment involves repositioning or replacing the displaced catheter. Persistent issues may require evaluation of the bladder with cystoscopy or adjustments in catheter type or size.
#### Prognosis and Follow-Up
- After addressing displacement, most patients recover quickly with appropriate catheter fixation. Follow-up appointments ensure proper healing and catheter function.
#### Complications
- Untreated displacement can lead to urinary retention, increased risk of urinary tract infections, bladder damage, or hematuria.
#### Lifestyle & Prevention
- Proper catheter care techniques, including securement and regular assessment by healthcare professionals, can help prevent catheter displacement.
#### When to Seek Professional Help
- Seek immediate medical attention if there is sudden pain, blood in the urine, inability to urinate, or visible catheter displacement.
#### Additional Resources
- National Kidney Foundation: [www.kidney.org](https://www.kidney.org)
- Urology Care Foundation: [www.urologyhealth.org](https://www.urologyhealth.org)
#### Tips for Medical Coders
- Ensure that the correct catheter type is specified to avoid errors; T83.028A should be used for non-specified urinary catheters.
- Verify that it is the initial encounter since subsequent encounters require different coding.