icd 9 code for ventriculoperitoneal shunt malfunction

by Prof. Enrico Metz Sr. 4 min read

Short description: Ventricular shunt status. ICD-9-CM V45. 2 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, V45.

What is the ICD 9 code for ventricular shunt?

ICD-9-CM 996.2 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 996.2 should only be used for claims with a date of service on or before September 30, 2015. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code (or codes).

Is there a diagnostic algorithm for ventriculoperitoneal shunt malfunction?

Billable Medical Code for Presence of Cerebrospinal Fluid Drainage Device Diagnosis Code for Reimbursement Claim: ICD-9-CM V45.2. Code will be replaced by October 2015 and relabeled as ICD-10-CM V45.2. The Short Description Is: Ventricular shunt status. Known As

What is the ICD 10 code for intracranial shunt?

2012 ICD-9-CM Diagnosis Code V45.2 Presence of cerebrospinal fluid drainage device Short description: Ventricular shunt status. ICD-9-CM V45.2 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, V45.2 should only be used for claims with a date of service on or before September 30, 2015.

What is the ICD 9 code for cerebrospinal fluid drainage device?

Oct 01, 2021 · Ventriculoperitoneal shunt malfunction; ICD-10-CM T85.01XA is grouped within Diagnostic Related Group(s) (MS-DRG v 39.0): 091 Other disorders of nervous system with mcc; 092 Other disorders of nervous system with cc; 093 Other disorders of nervous system without cc/mcc; Convert T85.01XA to ICD-9-CM. Code History

image

What is ICD 10 code for VP shunt malfunction?

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

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

Valid for SubmissionICD-10:Z98.2Short Description:Presence of cerebrospinal fluid drainage deviceLong Description:Presence of cerebrospinal fluid drainage device

What is VP shunt malfunction?

Cerebral shunt malfunction also referred to as shunt failure, is a partial or complete blockage (obstruction) of the shunt that causes it to function intermittently or not at all. When a blockage occurs, cerebrospinal fluid (CSF) accumulates and can result in symptoms of untreated hydrocephalus.

What is the root operation for Ventriculoperitoneal shunt?

Character 3—Root operation: The root operation for shunt is bypass, value of 1, which is defined as “altering the route of passage of the contents of a tubular body part.” Character 4—Body part: The body part for this procedure is usually the cerebral ventricle, which has a character value of 6.Dec 3, 2012

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.

What is the ICD 10 code for difficulty swallowing?

R13.10Code R13. 10 is the diagnosis code used for Dysphagia, Unspecified. It is a disorder characterized by difficulty in swallowing. It may be observed in patients with stroke, motor neuron disorders, cancer of the throat or mouth, head and neck injuries, Parkinson's disease, and multiple sclerosis.

How is shunt malfunction diagnosed?

In many cases, diagnostic imaging, such as CT scans or X-rays, is performed to rule in or rule out shunt dysfunction. These imaging tests expose patients to radiation, and many times these tests indicate that the shunt is in fact working properly.Aug 16, 2017

What can cause a shunt malfunction?

Shunt malfunction is most commonly due to a blockage or some obstruction within the shunt system. If the blockage is not corrected, symptoms of hydrocephalus will return. In some cases, shunt blockage may require surgery to replace the affected component or components.Aug 28, 2018

What is a shunt O Gram?

In patients with shunts, a shuntogram is an image-guided procedure where contrast material (dye) is placed in the shunt reservoir/valve and the speed at which it moves is observed to determine if there is a shunt malfunction or blockage.

What is an indwelling shunt?

✓ The authors describe an indwelling intraluminal shunt for carotid endarterectomy. The device is equipped with balloons at both ends to prevent bleeding and to hold the tube in place.

Where is a Ventriculoperitoneal shunt placed?

The long catheter is placed under your skin, behind your ear, down your neck, and into your abdomen. As the VP shunt drains extra CSF and lessens the pressure in your brain, it may ease some of your symptoms. Some symptoms will stop right after the VP shunt is inserted.Feb 8, 2022

How is a Ventriculoperitoneal shunt inserted?

The neurosurgeon will make two or three small incisions to place the shunt valve (usually above or behind the ear). The catheter will be tunneled under the skin. The end of the catheter will be carefully placed in the appropriate receiving cavity (usually the abdomen).

Coding Guidelines

The appropriate 7th character is to be added to each code from block Complications of internal prosth dev/grft (T85). Use the following options for the aplicable episode of care:

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

Convert T85.09XA to ICD-9 Code

The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code T85.09XA 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.

Abstract

Current methods for the diagnosis of ventriculoperitoneal (VP) shunt malfunction lack specific standards; therefore, it may be missed or misdiagnosed. Hence, providing a reliable diagnostic method will help improve the accuracy of preoperative decision-making.

1 Introduction

Ventriculoperitoneal (VP) shunt malfunction is a common complication of shunt surgery. [1–3] When computed tomography (CT) and magnetic resonance imaging (MRI) scans show an enlarged ventricular system, it can indicate a malfunction; in contrast, squeezing the reservoir and B-ultrasound examination can also help in the diagnosis.

2 Materials and methods

The study protocol was approved by the Ethics Committee of the First Affiliated Hospital of Henan University of Science and Technology (Luoyang, Henan, China), and written informed consent was obtained from all the participants. After in vitro testing, 12 patients diagnosed with VP shunt malfunction were enrolled in this study.

3 Results

The results showed that the SV concentration decreased with an increasing velocity of physiological saline ( Fig. 3 ). The SV concentration in the control group (642.5 ± 23.8 μg/mL) was significantly lower ( P = .001) than that in the obstruction group (2498.5 ± 51.1 μg/mL; Fig. 4 ).

4 Discussion

Patients with shunt malfunction can experience symptoms associated with high intracranial pressure, including headaches, vomiting, and even confusion. However, the cause of these symptoms needs to be differentiated from, e.g., cerebral infarction, heat stroke, and electrolyte imbalance.

5 Conclusions

The proposed method for the diagnosis of VP shunt malfunction is reliable, safe, and relatively simple, and provides a reference for treatment. Malfunction should be highly suspected when the residual SV concentration is >2000 μg/mL.

image