AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2022 Issue 3; Ask the Editor

Leakage of Cerebrospinal Fluid with Revision of Intrathecal Baclofen System

A 28-year-old female status post pump and catheter exchange of her intrathecal baclofen system developed localized swelling in the lumbar wound. The surgeon noted, “No visible leak but orifice around emergence of catheter from deep adipose and fascia “moist” on Valsalva testing.” The provider’s final diagnostic statement listed, “Para-catheter cerebrospinal fluid (CSF) wound leak.” What is the appropriate code assignment for this leak? ...

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