AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2016 Issue 2; Ask the Editor
Removal and Replacement of Tunneled Internal Jugular Catheter
The patient has a malfunctioning right internal jugular tunneled catheter. At surgery, the old catheter was removed and a new one placed. Under ultrasound guidance, the jugular was cannulated; the cuff of the old catheter was dissected out; and the entire catheter removed. An incision was then made at the entry site; a new catheter was tunneled through the subcutaneous tissue from the chest wall up into the neck. The guidewire and dilator were removed leaving the peel-away introducer in place. The catheter was threaded through the peel-away and the catheter was placed. Fluoroscopy confirmed that the catheter tip was in the right atrium. The port was aspirated, flushed and capped with heparin. The incision at the base of the neck was sutured. What are the appropriate ICD-10-PCS codes for the removal and insertion of an internal jugular tunneled catheter? ...
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Article Overview
This premium article explains how to approach ICD-10-PCS coding for a procedure involving a malfunctioning tunneled internal jugular catheter that was removed and replaced during surgery. It is intended for medical coders, coding auditors, and revenue cycle staff who need to understand how the article frames the procedure, the affected body location, and the coding scope discussed in the case.
Why This Topic Matters
Procedures involving central venous catheters can be coded differently depending on what was removed, what was inserted, and the level of procedural detail documented. This article helps readers evaluate the coding implications of a catheter removal-and-replacement scenario in a central venous access setting.
What You Will Learn
- How the article frames a tunneled internal jugular catheter replacement scenario for ICD-10-PCS review
- What procedural elements are described in the operative narrative
- How the article approaches the scope of removal and insertion coding for this encounter
- Which body location and access-related features are highlighted in the case discussion
Who Should Read This
- Medical coders
- Coding auditors
- Revenue cycle specialists
- Compliance staff
- Health information management professionals
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