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ICD-10/T83.038A

T83.038A ICD-10-CM Code: Leakage of other urinary catheter, initial encounter

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Inpatient Payment Groups (MS-DRG)

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0, Appendix B.

  • MS-DRG 698 — OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC (MDC 11)
  • MS-DRG 699 — OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC (MDC 11)
  • MS-DRG 700 — OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC (MDC 11)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Official Registry Overview & Definition

Leakage of other urinary catheter, initial encounter is a billable ICD-10-CM diagnosis code (T83.038A).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for T83.038A in the official ICD-10-CM tabular list.

Inclusion Terms

Alternative terms the tabular list files under this code.

  • Leakage of Hopkins catheter
  • Leakage of ileostomy catheter
  • Leakage of urostomy catheter

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Use Additional Code

Supplementary codes the tabular list directs you to add.

  • Use additional code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
  • Use additional code(s) to identify the specified condition resulting from the complication
  • Use additional code to identify devices involved and details of circumstances (Y62-Y82)

Change history

  • FY2017 — 2016-10-01
    Description revised
    Leakage of other indwelling urethral catheter, initial encounterLeakage of other urinary catheter, initial encounter
    FY2017 changes
  • FY2017 — 2016-10-01
    Short description revised
    Leakage of other indwelling urethral catheter, init encntrLeakage of other urinary catheter, initial encounter
    FY2017 changes

Verify Before Coding

  • No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.

Contextual Map

Every relationship of T83.038A in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Hierarchy

  • S00-T88 — Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) (S00-T88) [Hierarchy]
  • T80-T88 — Complications of surgical and medical care, not elsewhere classified [Hierarchy]

Referenced by Excludes2 notes

  • N99.5 — Complications of stoma of urinary tract [Excludes2](via T83.0.-): “mechanical complication of urinary catheter (T83.0-)” · check together
  • T81.59 — Other complications of foreign body accidentally left in body following procedure [Excludes2](via T83.0.-): “obstruction or perforation due to prosthetic devices and implants intentionally left in body (T82.0-T82.5, T83.0-T83.4, T83.7, T84.0-T84.4, T85.0-T85.6)” · check together

Clinical classification (CCSR)

  • INJ034 — Complication of genitourinary device, implant or graft, initial encounter [CCSR]

Potential MS-DRG

  • DRG 698 — OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC [MS-DRG]: “OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC (MDC 11)”
  • DRG 699 — OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC [MS-DRG]: “OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC (MDC 11)”
  • DRG 700 — OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC [MS-DRG]: “OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC (MDC 11)”

MDC crossing · procedures (3574)

  • MDC 11 — Diseases and Disorders of the Kidney and Urinary Tract [MDC crossing]: “Diseases and Disorders of the Kidney and Urinary Tract — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”
  • 00HE0MZ — Insertion of Neurostimulator Lead into Cranial Nerve, Open Approach [Same-MDC procedure]: “Insertion of Neurostimulator Lead into Cranial Nerve, Open Approach — grouped in MDC 11, the procedure side of this code's crossing.” · check together
  • 00HE3MZ — Insertion of Neurostimulator Lead into Cranial Nerve, Percutaneous Approach [Same-MDC procedure]: “Insertion of Neurostimulator Lead into Cranial Nerve, Percutaneous Approach — grouped in MDC 11, the procedure side of this code's crossing.” · check together
  • 00HE4MZ — Insertion of Neurostimulator Lead into Cranial Nerve, Percutaneous Endoscopic Approach [Same-MDC procedure]: “Insertion of Neurostimulator Lead into Cranial Nerve, Percutaneous Endoscopic Approach — grouped in MDC 11, the procedure side of this code's crossing.” · check together
  • 00HU0MZ — Insertion of Neurostimulator Lead into Spinal Canal, Open Approach [Same-MDC procedure]: “Insertion of Neurostimulator Lead into Spinal Canal, Open Approach — grouped in MDC 11, the procedure side of this code's crossing.” · check together
  • 00HU3MZ — Insertion of Neurostimulator Lead into Spinal Canal, Percutaneous Approach [Same-MDC procedure]: “Insertion of Neurostimulator Lead into Spinal Canal, Percutaneous Approach — grouped in MDC 11, the procedure side of this code's crossing.” · check together
  • and 3569 more

Index entries

  • Complication (s) (from) (of), catheter NEC (device), urethral, leakage[Index term]
  • Complication (s) (from) (of), catheter NEC (device), urinary NEC, leakage[Index term]
  • Leak, leakage, device, implant or graft, catheter NEC, urinary[Index term]
  • Leak, leakage, device, implant or graft, catheter NEC, urinary, Hopkins[Index term]
  • Leak, leakage, device, implant or graft, catheter NEC, urinary, ileostomy[Index term]
  • Leak, leakage, device, implant or graft, catheter NEC, urinary, specified NEC[Index term]
  • Leak, leakage, device, implant or graft, catheter NEC, urinary, urostomy[Index term]

Nearest codes (40)

  • T83 — Complications of genitourinary prosthetic devices, implants and grafts [Sibling]
  • T83.022D — Displacement of nephrostomy catheter, subsequent encounter [Sibling]
  • T83.022S — Displacement of nephrostomy catheter, sequela [Sibling]
  • T83.028 — Displacement of other urinary catheter [Sibling]
  • T83.028A — Displacement of other urinary catheter, initial encounter [Sibling]
  • T83.028D — Displacement of other urinary catheter, subsequent encounter [Sibling]
  • T83.028S — Displacement of other urinary catheter, sequela [Sibling]
  • T83.03 — Leakage of urinary catheter [Sibling]
  • and 32 more

Change history (2)

  • FY2017 — Description revised [Change history]
  • and 1 more

Referenced by Other Codes

Clinical classification (AHRQ CCSR):INJ034 — Complication of genitourinary device, implant or graft, initial encounter (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Potential MS-DRG Relationships (FY2026)

Not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity.

Named in the grouper logic of 3 MS-DRGs: DRG 698 (MDC 11), DRG 699 (MDC 11), DRG 700 (MDC 11).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Official ICD-10-CM tabular notes on other codes that name T83.038A or its code family.

2 Excludes2 notes across 2 chapters: N99.5 (via T83.0.-), T81.59 (via T83.0.-).

Frequently Asked Questions (FAQ) & Clinical Guidance

Does T83.038A require a 7th character?

Yes. The appropriate 7th character is to be added to each code from category T83.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to T83.038A in its code family, with their registry titles.

  • T83.032 — Leakage of nephrostomy catheter
  • T83.032A — Leakage of nephrostomy catheter, initial encounter
  • T83.032D — Leakage of nephrostomy catheter, subsequent encounter
  • T83.032S — Leakage of nephrostomy catheter, sequela
  • T83.038 — Leakage of other urinary catheter
  • T83.038D — Leakage of other urinary catheter, subsequent encounter
  • T83.038S — Leakage of other urinary catheter, sequela
  • T83.09 — Other mechanical complication of urinary catheter
  • T83.090 — Other mechanical complication of cystostomy catheter
  • T83.090A — Other mechanical complication of cystostomy catheter, initial encounter

View all codes in the T83 family

Indexed Clinical Terms (7)

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.

  • Complication (s) (from) (of), catheter NEC (device), urethral, leakage
  • Complication (s) (from) (of), catheter NEC (device), urinary NEC, leakage
  • Leak, leakage, device, implant or graft, catheter NEC, urinary
  • Leak, leakage, device, implant or graft, catheter NEC, urinary, Hopkins
  • Leak, leakage, device, implant or graft, catheter NEC, urinary, ileostomy
  • Leak, leakage, device, implant or graft, catheter NEC, urinary, specified NEC
  • Leak, leakage, device, implant or graft, catheter NEC, urinary, urostomy