Full Answer
Dependence on renal dialysis. The 2020 edition of ICD-10-CM Z99.2 became effective on October 1, 2019. This is the American ICD-10-CM version of Z99.2 - other international versions of ICD-10 Z99.2 may differ.
For diagnostic studies, the arteriovenous (AV) dialysis shunt (AV shunt) is defined as beginning with the arterial anastomosis [opening between two normally separate structures] and extending to the right atrium. This definition includes all upper and lower extremity AV Shunts, Arteriovenous Fistulae (AVF) and Arteriovenous Grafts (AVG).
Coding Notes for I77.0 Info for medical coders on how to properly use this ICD-10 code. Presence of arteriovenous shunt (fistula) for dialysis - instead, use code Z99.2.
Mechanical complication of ventricular intracranial shunt ICD-10-CM Diagnosis Code T82.4 Mechanical complication of vascular dialysis catheter mechanical complication of intraperitoneal dialysis catheter (T85.62); Mechanical complication of hemodialysis catheter
ICD-10 code T85. 09XA for Other mechanical complication of ventricular intracranial (communicating) shunt, initial encounter is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes .
Breakdown (mechanical) of ventricular intracranial (communicating) shunt, initial encounter. T85. 01XA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM T85.
2: Dependence on renal dialysis.
ICD-10 code Z99. 2 for Dependence on renal dialysis is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
A shunt is a hollow tube surgically placed in the brain (or occasionally in the spine) to help drain cerebrospinal fluid and redirect it to another location in the body where it can be reabsorbed.
A ventriculoperitoneal (VP) shunt is a thin plastic tube that helps drain extra cerebrospinal fluid (CSF) from the brain. CSF is the saltwater that surrounds and cushions the brain and spinal cord.
ICD-10 code Z51. 11 for Encounter for antineoplastic chemotherapy 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.
The incorrect portion of the response came as an aside at the end, where it was stated that “it would be redundant to assign codes for both diabetic nephropathy (E11. 21) and diabetic chronic kidney disease (E11. 22), as diabetic chronic kidney disease is a more specific condition.” It is true you wouldn't code both.
CPT code 90935 is used to report inpatient dialysis and includes one E/M evaluation provided to that patient on the day of dialysis. Inpatient dialysis requiring repeated evaluations on the same day is reported with code 90937.
ICD-10-CM Code for End stage renal disease N18. 6.
Z99. 2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM Z99. 2 became effective on October 1, 2021.
Typically, the clinical examination provides adequate information to determine whether there is hemodynamically significant dialysis shunt dysfunction. The following clinical findings are considered diagnostically specific and appropriate indications to initiate therapies to re-establish physiologically appropriate flow in the dialysis fistula.
Arteriovenous (AV) dialysis access (AV fistula, AV dialysis graft) interventions are intended to restore and/or maintain functional patency of the AV dialysis access. These procedures encompass a number of percutaneous or open surgical procedures. Indications for interventions on an AV dialysis access include compromised flow with threatened occlusion, recent thrombosis of AV dialysis access, and management of structural abnormalities such as pseudoaneurysms. Interventions are performed on AV dialysis fistulas and grafts in order to restore adequate flow, to preserve the access' function, and avoid the need to create a new AV access. Fistulae which are not maturing as expected are also evaluated and treated with percutaneous interventions.
These need not all be performed on every dysfunctional access, but each may, under unique circumstances, be considered reasonable and medically necessary.
Angioplasty may be coded a second time if a separate stenosis is treated in a central vessel (e.g., axillary, subclavian, brachiocephalic vein or artery, or SVC). The site of, and need for, separate stenosis treatment should be clearly documented. If central venous stenoses are treated, the venous angioplasty codes 36902, 36905, 36907, and 37247-37249 should be used once to describe central venous angioplasty, even if more than one discrete central lesion must be treated.
In the absence of clinical findings suggesting the need to re-establish appropriate flow in a dialysis fistula, it is seldom reasonable and necessary to perform diagnostic angiography or sonographic confirmatory studies as part of the decision to treat (i.e., CPT codes 75710, 75820, 93990).
CPT can pack a lot into one little code. Let's take a closer look at Arteriovenous (AV) Fistula/ Shunt/ Graft coding with using CPT codes 36147, 36148 and/or 75791:
Angiography, arteriovenous shunt (eg, dialysis patient fistula/graft), complete evaluation of dialysis access, including fluoroscopy, image documentation and report (includes injections of contrast and all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava), radiological supervision and interpretation.
While if we take a look at Arteriovenous (AV) Shunt definition according to CPT guidelines: For diagnostic studies, the arteriovenous (AV) dialysis shunt (AV shunt) is defined as beginning with the arterial anastomosis [opening between two normally separate structures] and extending to the right atrium. This definition includes all upper and lower ...
A medical coder should report 36148 (additional access for therapeutic intervention [List separately in addition to code for primary procedure]) in addition to 36147 if the initial evaluation (36147) prompts a therapeutic intervention requiring a second shunt catheterization.
An arteriovenous fistula is an abnormal connection or passageway between an artery and a vein. It may be congenital, surgically created for hemodialysis treatments, or acquired due to pathologic process, such as trauma or erosion of an arterial aneurysm.
Inclusion Terms are a list of concepts for which a specific code is used. The list of Inclusion Terms is useful for determining the correct code in some cases, but the list is not necessarily exhaustive.
The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code I77.0. Click on any term below to browse the alphabetical index.
This is the official exact match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that in all cases where the ICD9 code 447.0 was previously used, I77.0 is the appropriate modern ICD10 code.
Z99.2 is a billable ICD code used to specify a diagnosis of dependence on renal dialysis. A 'billable code' is detailed enough to be used to specify a medical diagnosis.
Dependence on dialysis due to end stage renal disease (finding) Hypertension concurrent and due to end stage renal disease on dialysis (disorder) Hypertension concurrent and due to end stage renal disease on dialysis due to type 2 diabetes mellitus (disorder)