icd-10-pcs procedure code for ventriculoperitoneostomy shunt

by Alysa Hartmann DDS 5 min read

Assign the ICD-10-PCS code (s) for open Ventriculoperitoneostomy. The operative report indicates that a synthetic shunt is placed to allow passage of the cerebral spinal fluid to the peritoneal cavity. 1. 00160J5 2. 00160J6 3. 00160JZ 4. 00160ZZ A patient is admitted with an infected right partial hip prosthesis.

Full Answer

What is the ICD-10 code for shunt?

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.

What is the ICD-10 code for shunted hydrocephalus?

ICD-10 code G91. 9 for Hydrocephalus, unspecified is a medical classification as listed by WHO under the range - Diseases of the nervous system .

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 is the ICD-10 code for shunt malfunction?

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

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 a VP shunt?

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.

What is the CPT code for placement of shunt?

Code 62223, creation of a ventriculo-peritoneal shunt, include both the neurosurgeon's portion of placing the ventricular catheter and your portion of placing the peritoneal catheter.

What is the CPT code for revision of Ventriculoperitoneal shunt?

CPT code 49426 is used for peritoneal venous shunt revision.

What is the CPT code for placement of Lumboperitoneal shunt?

CPT® 63744, Under Shunt, Spinal CSF Procedures.

What is the difference between a VP shunt and a LP shunt?

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.

What is a shunt replacement?

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.

Where is a VP shunt placed?

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.

What is the code for bypassing the cerebral ventricle?

00163J6 is a billable procedure code used to specify the performance of bypass cerebral ventricle to peritoneal cavity with synthetic substitute, percutaneous approach. The code is valid for the year 2021 for the submission of HIPAA-covered transactions.

What is ICD-10-PCS?

The ICD-10 Procedure Coding System (ICD-10-PCS) is a catalog of procedural codes used by medical professionals for hospital inpatient healthcare settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates. These 2022 ICD-10-PCS codes are to be used for discharges occurring from October 1, 2021 through September 30, 2022.

What is the procedure code for 00163J6?

The procedure code 00163J6 is in the medical and surgical section and is part of the central nervous system and cranial nerves body system, classified under the bypass operation. The applicable bodypart is cerebral ventricle.

What is a VP shunt?

A patient with congenital hydrocephalus status post ventriculoperitoneal (VP) shunt was admitted due to shunt failure. The VP shunt had become free of its connection and had migrated into the abdomen. Surgery was performed to replace the migrated portion of the VP shunt. The distal end of the catheter was removed laparoscopically from the abdomen and replaced. An incision was then made in the periauricular area to expose the site of the distal tubing, and cerebrospinal fluid was seen flowing through the disconnected tubing. A tunneler was used, and the distal tubing was brought back to the periauricular incision and tied to the connecter. Please clarify the correct ICD-10-PCS procedure code (s) for laparoscopic retrieval of VP shunt with replacement of the distal catheter. Should the shunt be classified as a drainage device? ...

What was the VP shunt removed from?

Surgery was performed to replace the migrated portion of the VP shunt. The distal end of the catheter was removed laparoscopically from the abdomen and replaced.

Is a VP shunt considered drainage?

A ventriculoperitoneal (VP) shunt is not classified as a drainage device. The shunt was initially placed to reroute the contents of the cerebral ventricle to another location, and “Bypass” is the appropriate root operation for the initial VP shunt procedure. In ICD-10-PCS, “Drainage” is defined as taking/letting out fluids/gases, whereas “Bypass” is defined as altering the route of passage of the contents of a tubular body part.

Is a VP shunt a synthetic substitute?

The device value issynthetic substitute” because the original root operation for placing the VP shunt is “Bypass,” and the device placed in that root operation and now being revised is classified as a synthetic substitute. The sites of the procedures to revise the shunt are the peritoneal cavity and the subcutaneous tissue of the periauricular area (behind the ear), respectively. Assign the following ICD-10-PCS procedure codes: