icd 10 code for obstructed vp shunt

by Branson Wintheiser 7 min read

T85.09XA

Full Answer

What is the ICD-10 code for obstructive hydrocephalus?

ICD-10 code G91. 1 for Obstructive hydrocephalus is a medical classification as listed by WHO under the range - Diseases of the nervous system .

What is the ICD-10 code for status post Ventriculoperitoneal shunt?

2: Presence of cerebrospinal fluid drainage device.

How do you diagnose a VP shunt block?

The diagnosis of shunt blockage was considered confirmed when peroperative examination revealed no CSF flow from the ventricular catheter, or when manometric evaluation revealed abnormal or no flow through the valve or distal catheter.

What is a VP shunt for hydrocephalus?

A ventriculoperitoneal (VP) shunt is a cerebral shunt that drains excess cerebrospinal fluid (CSF) when there is an obstruction in the normal outflow or there is a decreased absorption of the fluid. Cerebral shunts are used to treat hydrocephalus.

What is the ICD 10 code for shunt malfunction?

T85.09XAICD-10 Code for Other mechanical complication of ventricular intracranial (communicating) shunt, initial encounter- T85. 09XA- Codify by AAPC.

How are VP shunt procedures coded?

A shunt inserted from the brain to the abdomen or peritoneum is classified to code 02.34, Ventricular shunt to abdominal cavity and organs, and sometimes may be documented as a ventriculoperitoneal shunt. Code 02.34 also includes ventriculocholecystostomy and ventriculoperitoneostomy.

What happens when a VP shunt is blocked?

A shunt blockage can be very serious as it can lead to an build-up of excess fluid in the brain, which can cause brain damage. This will cause the symptoms of hydrocephalus. Emergency surgery will be needed to replace the malfunctioning shunt.

What causes VP shunt obstruction?

Highlights. Obstruction is the most common cause of ventriculoperitoneal shunt (VPS) malfunction. Infection is the second most common cause of VPS malfunction, which is more common in children. Pseudocyst is a late complication of VPS, which may present as abdominal pain and a palpable mass.

What are the symptoms of a blocked VP shunt in adults?

Signs of a shunt malfunction include headaches, vision problems, irritability, fatigue, personality change, loss of coordination, difficulty in waking up or staying awake, a return of walking difficulties, mild dementia or incontinence.

Is a VP shunt considered brain surgery?

Ventriculoperitoneal shunt surgery (VP shunt surgery) helps control pressure in your brain by draining extra fluid out of your brain and into your belly. During VP shunt surgery, the doctor placed two small tubes (catheters) and a valve under your skin.

What are the 2 types of shunts?

A ventriculoperitoneal shunt moves fluid from the ventricles of the brain to the abdominal cavity. A ventriculoatrial shunt moves fluid from the ventricles of the brain to a chamber of the heart.

What is the most common complication of VP shunt?

Definition. Ventriculoperitoneal (VP) shunt complications include blockage and infection. Early and prompt detection of shunt dysfunction is vital as delay can lead to markedly raised intracranial pressure, coning and death. All patients with suspected VP shunt dysfunction should be discussed with neurosurgery.

How do you test a VP shunt function?

The shunt patency is a study to determine if cerebrospinal fluid (CSF) is actually flowing through the shunt system (valves and proximal and distal catheters). By injecting a small volume (about 0.3 ml) of a radiotracer into the shunt reservoir, the flow of CSF through the catheters and valve can be measured.

How is shunt malfunction diagnosed?

CT and MRI examinations are currently used as reliable methods for diagnosing VP shunt malfunction,[7,8] especially in cases where the ventricular system enlarges again. However, in some patients, the ventricles are fissure-like or not enlarged, and prone to false negatives upon CT and MRI examination.

How do you know if a shunt is malfunctioning?

In most cases of hydrocephalus shunt malfunction, the diagnosis is obvious because of the apparent signs of elevated intracranial pressure, such as headaches, vomiting and lethargy.

What does hydrocephalus headache feel like?

The headache can be severe and may be associated with vomiting, photophobia (aversion to light), and it can resemble, to some extent, a migraine. Small ventricles when the shunt fails and the ventricles can't grow to accommodate cerebrospinal fluid (CSF).

What is the secondary code for Chapter 20?

Use secondary code (s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code. Type 1 Excludes.

When will the ICD-10-CM T85.698A be released?

The 2022 edition of ICD-10-CM T85.698A became effective on October 1, 2021.

What are the risks of VP of shunt?

The risks of the VP of the shunt are rare, but they do occur. Some of the risks include headache, infection, blockage of the shunt, and bleeding in the brain.

Where do they place a shunt?

Doctors use a catheter to place a shunt inside your head. The shunt will be near your spine and it will drain the fluid from your brain.

Does VP of shunt cure hydrocephalus?

The VP of Shunt is one of the most common treatments for hydrocephalus. Many people have this procedure done to prevent further damage to their brains. This procedure does not cure hydrocephalus, but it does relieve some of the symptoms caused by the condition.

What is 7th Character Extension?

For codes less than 6 characters that require a 7th character a placeholder 'X' should be assigned for all characters less than 6. The 7th character must always be the 7th position of a code. E.g. The ICD-10-CM code T67.4 (Heat exhaustion due to salt depletion) requires an Episode of Care identifier.

Coding Notes for T85.09 Info for medical coders on how to properly use this ICD-10 code

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.

ICD-10-CM Alphabetical Index References for 'T85.09 - Other mechanical complication of ventricular intracranial (communicating) shunt'

The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code T85.09. Click on any term below to browse the alphabetical index.

image