AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2017 Issue 2; Ask the Editor

Tunneled Catheter versus Totally Implantable Catheter

The patient underwent conversion of a non-tunneled dialysis catheter to a tunneled dialysis catheter. The existing catheter was removed. The new catheter was placed in the right internal jugular vein and advanced over a guidewire into position. A subcutaneous tunnel was then formed along the upper chest by blunt dissection. The catheter was brought through the tunnel. Limbs of the catheter were connected, tested for flushing and aspiration, and then sutured. Fluoroscopy confirmed placement of the catheter in the right atrium. How should the tunneled catheter placement be coded? There appears to be some confusion as to how to code tunneled venous catheter placement. The tunneled catheter is not totally implanted and a subcutaneous pocket is not created. What procedure codes should be assigned? Are two codes assigned, one for the central venous catheter, which was threaded into the right atrium, as well as the tunneled portion of the catheter, which resides in the subcutaneous chest tissue? ...

To read the full article, sign in and subscribe to AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS .


  • The official AHA publication for ICD-10-CM and ICD-10-PCS coding guidelines and advice
  • Current newsletters added each quarter
  • Full Archives - over 3100 articles
  • ALL years/issues back to 1984 organized by year and issue
  • Includes ICD-10-CM/PCS Articles since 2013
  • Fully searchable through Find-A-Code's Comprehensive Search
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
  • View all the articles associated with any code, right from the code page!
Access to this feature is available in the following products:
  • AHA's Coding Clinic® - ICD-10-CM/PCS +Archives

free demo
request yours today
pricing
for any budget
sign IN
welcome back!

Thank you for choosing Find-A-Code, please Sign In to remove ads.