AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2015 Issue 2; Ask the Editor

Revision of Ventriculoperitoneal (VP) Shunt

A patient with congenital hydrocephalus status post ventriculoperitoneal (VP) shunt was admitted due to shunt failure. The VP shunt had become free of its connection and had migrated into the abdomen. Surgery was performed to replace the migrated portion of the VP shunt. The distal end of the catheter was removed laparoscopically from the abdomen and replaced. An incision was then made in the periauricular area to expose the site of the distal tubing, and cerebrospinal fluid was seen flowing through the disconnected tubing. A tunneler was used, and the distal tubing was brought back to the periauricular incision and tied to the connecter. Please clarify the correct ICD-10-PCS procedure code(s) for laparoscopic retrieval of VP shunt with replacement of the distal catheter. Should the shunt be classified as a drainage device?  ...

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