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

Externalization of Lumboatrial Shunt

A patient underwent externalization of his lumboatrial (LA) shunt, due to positive blood cultures. At surgery, the vascular portion of the shunt was removed from the blood vessel, and the spinal canal portion of the shunt was converted from a completely internal bypass conduit to an external drain. The conversion of the lumboatrial shunt to an external drain is intended to be temporary, while the patient’s infection that occurred in the vascular portion of the lumboatrial shunt is being treated. The patient will return to the operative suite later in the admission, for shunt reinternalization. What are the correct root operation and body part value for the externalization of the LA shunt? ...

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