AHA Coding Clinic® for ICD-9 - 1990 Fourth Quarter
Implantable Infusion Pumps and Vascular Access Devices
Implantable vascular access devices (VADs) and implantable infusion pumps are two distinct catheter systems. Each can be used to deliver drug therapy. There are differences between the two systems that make each unique. The main difference between the two systems is that the implantable infusion pump is a self-contained pump completely implanted into the body, whereas an implantable vascular access device is not a pump but is implanted into the body to provide access to the vascular system. Because it is important to distinguish between VADs and implantable pumps, a new code, 86.07, has been established for coding...
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Article Overview
This article covers implantable infusion pumps and implantable vascular access devices (VADs), focusing on how the two systems differ in structure, purpose, and clinical use. It is aimed at coders, billers, and clinical documentation staff who need to understand the broad classification of these implanted systems and the related procedure coding topics discussed in the article. The article also addresses associated anesthesia, catheterization, infusion, and diagnosis-code references, along with general discussion of pump refills, access methods, and outpatient follow-up.
Why This Topic Matters
Accurate identification of implanted devices affects procedural classification, documentation interpretation, and code assignment. This topic is especially relevant when records mention infusion therapy, vascular access, catheter placement, or implantable drug-delivery systems.
Article Sections
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Overview of implantable infusion pumps and vascular access devices
Introduces the two device categories and contrasts their general roles in drug delivery and vascular access.
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Implantable Infusion Pumps
Describes general features, implantation context, and broad clinical uses of implantable infusion pumps, including maintenance and follow-up considerations.
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Implantable Vascular Access Devices
Describes the general structure and purposes of implantable vascular access devices and their role in repeated vascular access and ongoing therapy.
What You Will Learn
- How the article distinguishes implantable infusion pumps from implantable vascular access devices
- What general clinical purposes these implanted systems serve
- What broad related procedure coding topics are referenced in the discussion
- How outpatient follow-up and device maintenance are presented in the article
Who Should Read This
- Medical coders
- Coding auditors
- Clinical documentation specialists
- Billing staff
- Health information management professionals
Codes Discussed
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