AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2021 Issue 2; Ask the Editor

Electromagnetic Stealth Guided Ventriculoperitoneal Shunt Insertion with Endoscopy

A patient with hydrocephalus underwent electromagnetic stealth guided placement of a right ventriculoperitoneal shunt. Following the passing of the distal shunt passer and distal catheter to the abdominal incision, and placement of a burr hole in the dura, an electromagnetic stealth was utilized to pass the proximal catheter to target. An endoscope was used to confirm the location of the ventricular portion of the shunt. Laparoscopy confirmed the placement of the distal catheter in the peritoneum. What are the correct code assignments for this procedure? Is it appropriate to report separate codes with Inspection for the intracranial endoscopy and laparoscopy? ...

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