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T83.518A vs T83.518D

T83.518A (Infection and inflammatory reaction due to other urinary catheter, initial encounter) compared with T83.518D (Infection and inflammatory reaction due to other urinary catheter, subsequent encounter), from the official CMS tabular data. T83.518A and T83.518D code the same injury at a different phase of treatment.

Relationship

Review

Encounter relationship

T83.518A
Initial encounter
Infection and inflammatory reaction due to other urinary catheter, initial encounter
T83.518D
Subsequent encounter
Infection and inflammatory reaction due to other urinary catheter, subsequent encounter

Same underlying diagnosis, different encounter phase.

The 7th character records the phase of care for the encounter being coded, so a single encounter takes one of these characters, not several. Review whether both phases belong on the same episode of care.

Source: ICD-10-CM Official Guidelines, Section I.C.19.a

Can these codes be reported together?

Same injury, other encounter phase. T83.518A and T83.518D code the same injury at a different phase of treatment, set by the 7th character.

The 7th character records the type of care given at the encounter being coded (ICD-10-CM Official Guidelines, Section I.C.19.a), so one encounter takes one of these, not both.

Side by side

T83.518AInfection and inflammatory reaction due to other urinary catheter, initial encounterT83.518DInfection and inflammatory reaction due to other urinary catheter, subsequent encounter
Billing statusBillableBillable
ClassificationS00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
DefinitionInfection and inflammatory reaction due to other urinary catheter, initial encounter is a billable ICD-10-CM diagnosis code (T83.518A).Infection and inflammatory reaction due to other urinary catheter, subsequent encounter is a billable ICD-10-CM diagnosis code (T83.518D).
7th characterThe appropriate 7th character is to be added to each code from category T83The appropriate 7th character is to be added to each code from category T83
Includes
Infection and inflammatory reaction due to Hopkins catheter
Infection and inflammatory reaction due to ileostomy catheter
Infection and inflammatory reaction due to urostomy catheter
Infection and inflammatory reaction due to Hopkins catheter
Infection and inflammatory reaction due to ileostomy catheter
Infection and inflammatory reaction due to urostomy catheter
Use additional code
code to identify infection
code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
code(s) to identify the specified condition resulting from the complication
code to identify infection
code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
code(s) to identify the specified condition resulting from the complication

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources