AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2017 Issue 3; Correction Notice

Tunneled Vascular Access Device

Coding Clinic Fourth Quarter 2015, pages 30-31 contained a misprint regarding the creation of a pocket in the chest subcutaneous tissue for placement of a port for a tunneled hemodialysis catheter. A pocket is not created in the chest wall subcutaneous tissue for a tunneled catheter. As stated in Coding Clinic Second Quarter 2017, pages 24-25, a tunneled catheter is typically advanced via the internal jugular vein into the superior/inferior vena cava, or right atrium under fluoroscopic guidance. The other end of the catheter is tunneled beneath the skin and subcutaneous tissue; and a second incision is made at...

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