AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2015 Issue 3; Ask the Editor
Placement of Ventriculostomy Catheter via Burr Hole
The patient presented to the hospital for treatment of subarachnoid hemorrhage and communicating hydrocephalus, and underwent placement of right frontal ventriculostomy catheter. Since the burr hole was created in order to place the catheter, in ICD-10-PCS would this be coded as an “open” or “percutaneous” approach? ...
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Article Overview
This short coding article explains how to classify a ventriculostomy catheter placement procedure in ICD-10-PCS and focuses on the approach designation used for the service. It is relevant to inpatient coding professionals, CDI staff, and clinical documentation teams reviewing neurosurgical procedures involving hydrocephalus or intracranial drainage. The article centers on a specific coding question and the ICD-10-PCS entry used to illustrate the correct assignment.
Why This Topic Matters
Correctly identifying the procedure approach affects accurate inpatient procedure coding and supports consistent reporting for neurosurgical interventions.
What You Will Learn
- How this ventriculostomy catheter placement is discussed within ICD-10-PCS
- How approach terminology is framed for a burr hole procedure
- What type of inpatient coding issue the article is intended to clarify
- How the article connects a clinical scenario to ICD-10-PCS procedure reporting
Who Should Read This
- Inpatient coders
- Clinical documentation improvement specialists
- Coding auditors
- Health information management professionals
Codes Discussed
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