AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2018 Issue 4; Ask the Editor
Placement of Lumboatrial Shunt
The same patient whose shunt was externalized due to infection presented with negative cultures, and for internalization of the shunt (placement of lumboatrial shunt). The previous incision along the abdominal scar was opened, revealing the external drainage system, which was cut, disconnected and removed. A second incision was made in the left infraclavicular region, and a new atrial catheter was passed and placed at the superior vena cava cardiac junction, over a guidewire. The subcutaneous tunnel was made from the chest to the abdominal incision. Shunt tubing was passed through and connected to the proximal system. The tubing was cut proximally and superiorly, connected to the atrial catheter, and secured to the subcutaneous tissue. Is “Revision” the correct root operation for the internalization/insertion of the lumboatrial shunt? ...
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Article Overview
This premium coding article focuses on ICD-10-PCS coding for a shunt internalization procedure involving placement of a lumboatrial shunt. It is aimed at coders who work with neurosurgical and cardiovascular procedure coding and need help understanding how the procedure is classified in ICD-10-PCS. The article describes the clinical setup, the operative steps at a high level, and the coding question being asked about the appropriate root operation.
Why This Topic Matters
Shunt internalization cases can be coded differently depending on how the procedure is classified and which body systems and device components are involved. Correct ICD-10-PCS assignment is important for accurate inpatient coding and reporting.
What You Will Learn
- How the shunt internalization procedure is described in operative terms
- Which ICD-10-PCS classification concepts are relevant to the case
- How to evaluate the coding question raised by the procedure narrative
- What aspects of the operation make this a relevant ICD-10-PCS assignment issue
Who Should Read This
- ICD-10-PCS coders
- Inpatient hospital coders
- Coding educators
- Clinical documentation specialists
- Health information management professionals
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