AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2015 Issue 2; Clarifications

Totally Implantable Central Venous Access Device (Port-a-Cath)

In Coding Clinic, Fourth Quarter 2013, pages 116-117, information was published about the device character for the insertion of a totally implantable central venous access device (port-a-cath). Although we agree with the device value, the approach value is inaccurate. The approach value for placement of a port-a-cath should be “Open.” Furthermore, a port-a-cath is a two-part device, and requires two ICD-10-PCS codes, for the insertions of the catheter as well as the infusion device. We are asking that the Coding Clinic Editorial Advisory Board (EAB) revisit this advice.   ...

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