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.
89.
ICD-10 code G91. 9 for Hydrocephalus, unspecified is a medical classification as listed by WHO under the range - Diseases of the nervous system .
T85.09XAICD-10-CM Code for Other mechanical complication of ventricular intracranial (communicating) shunt, initial encounter T85. 09XA.
A shunt is an abnormal communication between the right and left sides of the heart or between the systemic and pulmonary vessels, allowing blood to flow directly from one circulatory system to the other. A right-to-left shunt allows deoxygenated systemic venous blood to bypass the lungs and return to the body.
Clinical Significance. A right-to-left shunt occurs when: there is an opening or passage between the atria, ventricles, and/or great vessels; and, right heart pressure is higher than left heart pressure and/or the shunt has a one-way valvular opening.
Hydrocephalus shunting involves the implantation of two catheters and flow control valve system to drain the excess accumulation of cerebrospinal fluid (CSF) from the brain's ventricles (or the lumbar subarachnoid space) to another part of the body where it can be absorbed.
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.
It is sent down the neck and chest, and usually into the belly area. Sometimes, it stops at the chest area. In the belly, the catheter is often placed using an endoscope. The doctor may also make a few more small cuts, for instance in the neck or near the collarbone, to help pass the catheter under the skin.
The presented results suggest that LP shunts reduce the spinal CSF volume, while VP shunts keep the cranial and spinal CSF volume in the physiological range.
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.
Answer: Actually you get two codes! CPT 62225 is used for the ventricular catheter replacement and 62230 for the valve replacement.