In table 0W1, Anatomical Regions, Bypass, the qualifier value 6 Bladder, has been added for the bypass from peritoneal cavity to the bladder. This change will identify the procedures in which a fully internal route of passage for the fluid from the peritoneal cavity to the bladder is created.
|G Peritoneal Cavity||0 Open
4 Percutaneous Endoscopic
|J Synthetic Substitute||6 Bladder|
The buildup of ascitic fluid in the peritoneal cavity is a common complication for patients with cirrhosis. The alfapump® system is an alternative to serial paracentesis for patients with refractory ascites. The system consists of an implanted subcutaneous device that allows fluid to be moved from the peritoneal cavity to the urinary bladder where it is then eliminated via urination. The alfapump® system is wirelessly charged using a hand-held Smart Charger, which can also be used to wirelessly adjust the settings. One catheter is implanted in the peritoneal cavity to collect fluid and the other catheter is implanted in the urinary bladder to receive fluid. The alfapump® is placed in a subcutaneous pocket made by a single incision on the abdominal right or left upper quadrant. Two small additional incisions are made for the percutaneous insertion of the peritoneal and bladder catheters which are then tunneled to the pump pocket and attached to the alfapump® system prior to closure of the implantation pocket.
For the percutaneous implantation of the alfapump® for ascites drainage, assign the following ICD-10-PCS codes: