AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2021 Quarter 2; Ask the Editor
Peritoneal Dialysis Catheter Placement
A patient was admitted due to mental status decline and required placement of a peritoneal dialysis catheter during the admission because of end-stage renal disease. At surgery, a vertical incision was made lateral to the umbilicus on the left side of the abdomen. Dissection was carried down to the anterior fascia and the anterior fascia was incised. The rectus muscle was dissected to expose the posterior fascia. A purse-string suture was then made around the posterior fascia, and a small nick was made in the posterior fascia. A peritoneal dialysis catheter was inserted in the direction of the lower pelvis and then secured to the purse-string suture and the anterior fascia was closed. The dialysis catheter was tested and then tunneled exiting out the skin just below the level of the umbilicus. What is the appropriate ICD-10-PCS code for this procedure? Would the correct approach value be open or percutaneous? ...
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Article Overview
This premium article addresses inpatient procedure coding for placement of a peritoneal dialysis catheter in a patient with end-stage renal disease. It is written for coders and CDI/coding-revenue cycle professionals who need to understand the procedure context, the applicable ICD-10-PCS framework, and how approach terminology is considered in this type of case.
Why This Topic Matters
Procedure coding for device placement can affect claim accuracy, DRG assignment, and compliance. This article helps readers evaluate the operative context for ICD-10-PCS reporting in a dialysis access case.
What You Will Learn
- How this type of dialysis access procedure is framed for inpatient procedure coding
- What aspects of the operative narrative are relevant to ICD-10-PCS code selection
- How the article approaches the question of procedure approach classification
- How to recognize the coding context for peritoneal dialysis catheter placement
Who Should Read This
- Inpatient coders
- Coding auditors
- CDI specialists
- Revenue cycle staff
- Health information management professionals
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