T80.212
Local infection due to central venous catheter
Clinical Classification Guidelines
Inclusion Terms
- Exit or insertion site infection
- Local infection due to Hickman catheter
- Local infection due to peripherally inserted central catheter (PICC)
- Local infection due to portacath (port-a-cath)
- Local infection due to pulmonary artery catheter
- Local infection due to triple lumen catheter
- Local infection due to umbilical venous catheter
- Port or reservoir infection
- Tunnel infection
Medical Intelligence & Overview
A local infection due to a central venous catheter refers to an infection occurring at the site where a catheter is inserted or at the port or device connected to it. These infections can happen with various types of catheters including Hickman, PICC (peripherally inserted central catheter), Port-a-Cath, pulmonary artery catheters, triple lumen catheters, umbilical venous catheters, or other ports and reservoirs. Recognizing and understanding these infections are essential for appropriate management and prevention.
Causes & Symptoms
Clinical Causes: Bacterial contamination during insertion or handling Poor hygiene or aseptic technique during catheter care Breakdown or damage to the skin around the insertion site Movement or dislodgement of the catheter, allowing bacteria entry Presence of biofilms on the catheter surface Extended use of the catheter without proper maintenance Pre-existing infections elsewhere in the body that spread locally
Key Symptoms: Redness, swelling, or warmth around the catheter insertion site Pain or tenderness near the site Discharge or pus at the insertion area Fever or chills indicating systemic infection Tenderness or discomfort when touching the area A foul smell from the site Increased warmth or swelling along the length of the catheter track
Diagnostic & Treatment
Diagnosis Path: Diagnosis of a local infection due to a central venous catheter involves clinical examination of the insertion site, assessment of symptoms, and microbiological testing. Healthcare providers may take a sample of discharge or fluid for culture to identify the responsible bacteria. Imaging techniques like ultrasound or other scans may be used if abscesses or deeper infections are suspected. Monitoring for signs of systemic infection is also critical.
Treatment Protocols: Treatment typically includes the removal or replacement of the affected catheter, administration of antibiotics tailored to the identified pathogen, and supportive care to manage symptoms. Proper wound care and hygiene are essential to prevent further infection. In some cases, surgical intervention may be necessary if abscesses or tissue damage occur. Healthcare providers will also evaluate for potential complications or spread of infection to other areas.
Clinical Advice & FAQs
Billing Guidance
Is T80.212 a billable ICD-10 code?
Yes, T80.212 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report T80.212?
Clinical documentation must specify the nature of Local infection due to central venous catheter and any associated comorbidities for accurate reporting.
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