AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2014 Issue 3; Ask the Editor

End of Life Replacement of Baclofen Pump

The patient has a previously placed Baclofen pump, which has reached the end of its service life. He underwent open removal and replacement of the Baclofen medication pump. During the procedure, the surgeon made an incision in the abdomen and dissected free the existing pump. An incision was made over the existing scar on the patient’s back and the existing catheter was removed. Attention was then turned to the new catheter, which was percutaneously inserted into the lower back, through the spinal canal and threaded into the intrathecal space. A subcutaneous tunnel was then created to the abdominal incision and the remaining tubing passed through this incision. The new pump was brought to the operating field and connected. The pump was placed into the existing subcutaneous pocket. What are the appropriate ICD-10-PCS code assignments for replacement of a Baclofen pump and catheter? Also, what would be the appropriate ICD-10-CM diagnosis code assignment for end of life of a Baclofen pump?  ...

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