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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