| ICD-10: | Z45.2 |
|---|---|
| Short Description: | Encounter for adjustment and management of VAD |
| Long Description: | Encounter for adjustment and management of vascular access device |
Z46.82 is a billable diagnosis code used to specify a medical diagnosis of encounter for fitting and adjustment of non-vascular catheter. The code Z46.82 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
Z46.82 is a billable diagnosis code used to specify a medical diagnosis of encounter for fitting and adjustment of non-vascular catheter. The code Z46.82 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
Diagnosis was not present at time of inpatient admission. Documentation insufficient to determine if the condition was present at the time of inpatient admission. Clinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.
Z46.82 is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here.
Answer:#N#A peritoneal port-a-cath is a small reservoir that is surgically implanted into the subcutaneous tissue of the abdomen. The device can be used to deliver antineoplastic medications, or withdraw excessive fluid from the peritoneal cavity through a catheter connected to the port. In this case the port is being inserted into the abdominal subcutaneous tissue and fascia, not the chest wall. Two codes are assigned, one for the catheter and the other for the peritoneal port. Since ICD-10-PCS does not provide a specific code for the insertion of the peritoneal port, the closest available equivalent is “Insertion of reservoir into abdomen subcutaneous tissue and fascia.” Assign the following ICD-10-PCS codes: 1 0WHG33Z Insertion of infusion device into peritoneal cavity, percutaneous approach, for the catheter insertion 2 0JH80WZ Insertion of reservoir into abdomen subcutaneous tissue and fascia, open approach, for insertion of the peritoneal port
Physician documentation is needed for the intended use of the line and the anatomical site that the catheter ends up.
Types of Lines: Central Lines - (CVC)- Central Venous Catheter or central lines are inserted into large veins, typically the jugular, subclavian, or femoral vein. Common uses are for medication and fluid administration.
The appropriate 7th character is to be added to each code from block Complications of cardiac and vascular prosth dev/grft (T82). Use the following options for the aplicable episode of care:
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code T82.42XA its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
Z45.2 is a billable diagnosis code used to specify a medical diagnosis of encounter for adjustment and management of vascular access device. The code Z45.2 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)
Z45.2 is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here.