AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2018 Issue 4; Ask the Editor

Placement of Lumboatrial Shunt

The same patient whose shunt was externalized due to infection presented with negative cultures, and for internalization of the shunt (placement of lumboatrial shunt). The previous incision along the abdominal scar was opened, revealing the external drainage system, which was cut, disconnected and removed. A second incision was made in the left infraclavicular region, and a new atrial catheter was passed and placed at the superior vena cava cardiac junction, over a guidewire. The subcutaneous tunnel was made from the chest to the abdominal incision. Shunt tubing was passed through and connected to the proximal system. The tubing was cut proximally and superiorly, connected to the atrial catheter, and secured to the subcutaneous tissue. Is “Revision” the correct root operation for the internalization/insertion of the lumboatrial shunt? ...

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