AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2020 Issue 2; Ask the Editor

Ommaya Reservoir with Ventricular Catheter Placement

A patient with a history of acute myeloblastic leukemia presented with an intracranial recurrence. An Ommaya reservoir with ventricular catheter was placed for the intrathecal delivery of medication. A previous twist drill hole in the skull was expanded around the Ommaya reservoir and was able to fit into a bony pocket but the inner cortical bone was not expanded beyond the twist drill hole. Next, a ventricular catheter was attached to the reservoir and the other end was navigated via the drill hole into the foramen of Monro. What is the appropriate ICD-10-PCS code for insertion of an Ommaya reservoir intra-cranially for delivery of medication? ...

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