AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2020 Issue 2; Ask the Editor

Ommaya Reservoir Placement for Cerebrospinal Fluid Infusion Therapy

A patient who is diagnosed with spinal muscular atrophy status post spinal fusion, presented for insertion of an intraspinal Ommaya reservoir via laminectomy for cerebrospinal fluid (CSF) infusion therapy. Dissection was carried down to the spinal bone mass, where a drill was utilized to reach the lumbar canal. A needle was then placed into the lumbar subarachnoid space and the catheter was threaded up to the mid thoracic level. The catheter was then tunneled out through the paraspinous muscle to a new subcutaneous pocket that was created under direct vision off the right flank. An Ommaya reservoir was then connected to the spinal catheter. What is the ICD-10-PCS code for insertion of an Ommaya reservoir into the flank for delivery of medication? ...

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