Question: Which diagnosis code is appropriate for a bloodstream infection due to a Port-a-Cath malfunction? Answer: Your ICD-10-CM code choice in this case is T80.211 (Bloodstream infection due to central venous catheter).
Malfunction of hemodialysis catheter ICD-10-CM T82.41XA is grouped within Diagnostic Related Group (s) (MS-DRG v38.0): 673 Other kidney and urinary tract procedures with mcc 674 Other kidney and urinary tract procedures with cc
Answer: Your ICD-10-CM code choice in this case is T80.211 (Bloodstream infection due to central venous catheter). In addition to a bloodstream infection due to portacath (port-a-cath), the ICD-10 index also includes the following diagnoses under T80.211-:
Short description: Encounter for fit/adjst of peritoneal dialysis catheter The 2021 edition of ICD-10-CM Z49.02 became effective on October 1, 2020. This is the American ICD-10-CM version of Z49.02 - other international versions of ICD-10 Z49.02 may differ. The following code (s) above Z49.02 contain annotation back-references
T85.691A691A for Other mechanical complication of intraperitoneal dialysis catheter, initial encounter is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes .
T85.691T85. 691 - Other mechanical complication of intraperitoneal dialysis catheter | ICD-10-CM.
Peritoneal dialysis catheter dysfunction is one of the main complications of peritoneal dialysis. The most common causes of infusion and/or drainage problems are caused by catheter migration or kinking, constipation, fibrin deposition, intraperitoneal adhesions or omentum entrapment.
ICD-10 code Z49. 02 for Encounter for fitting and adjustment of peritoneal dialysis catheter is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
For a hemodialysis catheter, the appropriate code is Z49. 01 (Encounter for fitting and adjustment of extracorporeal dialysis catheter). For any other CVC, code Z45. 2 (Encounter for adjustment and management of vascular access device) should be assigned.
CPT® 49421, Under Tunneled Intraperitoneal Catheter Insertion and Removal Procedures. The Current Procedural Terminology (CPT®) code 49421 as maintained by American Medical Association, is a medical procedural code under the range - Tunneled Intraperitoneal Catheter Insertion and Removal Procedures.
One of the most serious complications of peritoneal dialysis is infection, which can develop in the skin around the catheter or inside the abdominal cavity (called peritonitis). Another potential, but less serious, complication of peritoneal dialysis is the development of a hernia, a weakness in the abdominal muscle.
The most frequent and important complication of peritoneal dialysis (PD) catheters is infection, which may result in catheter loss and discontinuation of PD [1,2]. However, some evidence suggests that the transfer to hemodialysis for these reasons may be decreasing.
Examples of MCPD include inflow and outflow dysfunction, migration, hernias, peritoneal dialysate leakage, hydrothorax, superficial cuff extrusion, hydrothorax, external tubing break or leak and pain during dialysis.
2: Dependence on renal dialysis.
Note: Code 0WPGX3Z, defined for external approach, is assigned for removal of the peritoneal dialysis catheter by pull.
ICD-10 code N18. 6 for End stage renal disease is a medical classification as listed by WHO under the range - Diseases of the genitourinary system .