AHA Coding Clinic® for ICD-9 - 2014 Issue 1; Clarification

Bacteremia due to Peripherally Inserted Central Catheter (PICC Line)

Coding Clinic, Second Quarter 2011, pages 7-8, advises the coder to assign codes 999.31, Infection due to central venous catheter; 790.7, Bacteremia; and 041.19, Other Staphylococcus, as additional diagnoses, for “probable bacteremia due to PICC line”, where the blood cultures were positive for Staphylococcus epidermidis. However, code 999.32, Bloodstream infection due to central venous catheter, became effective October 1, 2011. The coders at our facility are questioning whether code 999.32, Bloodstream infection due to central venous catheter, would be more appropriate, for probable bacteremia due to PICC line. Could you please clarify the appropriate code assignment for bacteremia due to a peripherally inserted catheter? ...

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