AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2018 Issue 3; Ask the Editor
Fibrin Sheath Stripping of Malfunctioning Port-a-Cath
The patient underwent fibrin sheath stripping of a port-a-catheter in the superior vena cava. The right common femoral vein was accessed with a micropuncture needle. The distal tip of a long French sheath was placed near the right atrium. A gooseneck snare was inserted through the sheath to capture the catheter. The catheter tip was stripped 10 times. Digital subtraction portogram demonstrated free flow of contrast into the right atrium with resolution of the fibrin sheath. What is the code assignment for this procedure? ...
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Article Overview
This premium article explains the coding context for a procedure performed to address fibrin sheath formation affecting a port-a-cath. It is aimed at coders, auditors, and clinical documentation teams who need to interpret the procedure setting, the device involved, and the relevant ICD-10-PCS assignment.
Why This Topic Matters
Accurate selection of the procedure code depends on understanding the service performed, the device location, and the documentation elements that support the assignment. This article helps users recognize the coding implications of a vascular access device intervention.
What You Will Learn
- How the procedure setting and device context affect code selection.
- How the article frames the ICD-10-PCS assignment for an implanted venous access device intervention.
- What documentation elements are highlighted in support of the coding discussion.
- How this interventional procedure is categorized in a coding context.
Who Should Read This
- Medical coders
- Coding auditors
- Compliance staff
- Revenue cycle professionals
- Clinical documentation specialists
Codes Discussed
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