AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2017 Issue 2; Ask the Editor
Exchange of Tunneled Catheter
A patient with renal failure requiring hemodialysis presents for a tunneled hemodialysis catheter exchange secondary to poor blood flow. The catheter was loosened from its existing tunnel, and was then removed using fluoroscopic guidance. A new access catheter was placed through the existing tunnel and into the lower superior vena cava using fluoroscopic guidance. The peripheral portion of the catheter was secured to the skin with sutures. Is the root operation “Change” appropriate for this procedure? ...
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Article Overview
This premium coding article addresses a tunneled hemodialysis catheter exchange and discusses how the procedure is classified within ICD-10-PCS root operation concepts. It is intended for coders and clinical documentation professionals who need to understand the procedural approach, the setting of the catheter exchange, and the general classification framework used for device-related procedures.
Why This Topic Matters
Device exchanges are common in dialysis care, and correct procedural classification affects code selection and record accuracy. The article helps readers compare a catheter exchange scenario with the broader ICD-10-PCS terminology used for device-related procedures.
What You Will Learn
- How a tunneled hemodialysis catheter exchange is framed in procedural coding terms.
- How the existing tunnel and device placement context affect classification.
- How ICD-10-PCS root operation terminology is applied to a device exchange scenario.
- The general relationship between catheter exchange procedures and device-related root operations.
Who Should Read This
- Medical coders
- Coding auditors
- Clinical documentation specialists
- Revenue cycle professionals
- Dialysis facility coding staff
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