AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2021 Issue 2; Ask the Editor

Peritoneal Dialysis Catheter Placement

A patient was admitted due to mental status decline and required placement of a peritoneal dialysis catheter during the admission because of end-stage renal disease. At surgery, a vertical incision was made lateral to the umbilicus on the left side of the abdomen. Dissection was carried down to the anterior fascia and the anterior fascia was incised. The rectus muscle was dissected to expose the posterior fascia. A purse-string suture was then made around the posterior fascia, and a small nick was made in the posterior fascia. A peritoneal dialysis catheter was inserted in the direction of the lower pelvis and then secured to the purse-string suture and the anterior fascia was closed. The dialysis catheter was tested and then tunneled exiting out the skin just below the level of the umbilicus. What is the appropriate ICD-10-PCS code for this procedure? Would the correct approach value be open or percutaneous? ...

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