AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2018 Issue 3; Ask the Editor

Catheter Placement for Treatment of Congestive Heart Failure

A patient with congestive heart failure (CHF) and diuretic resistance underwent a new procedure to treat CHF, which is currently in clinical trials. During the procedure, a sheath was advanced via the left internal jugular vein using ultrasound guidance and micropuncture technique and a drainage catheter was placed into the left innominate vein to drain lymph fluid. The current ICD-10-PCS does not include codes for drainage of lymphatic fluid or bypass of lymphatic fluid to the blood stream. How should the placement of the catheter in the innominate vein to drain the lymphatics be coded? ...

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