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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Article Overview
This brief Coding Clinic correction discusses tunneled vascular access catheter placement and notes a prior misprint related to port pocket creation. It is relevant to coders, CDI professionals, and clinicians working with vascular access, interventional procedures, and official coding guidance. The article focuses on general procedural anatomy and positioning considerations referenced by Coding Clinic.
Why This Topic Matters
It helps readers recognize that the article is a clarification of earlier official guidance rather than a new clinical topic, which can matter when reviewing documentation for tunneled vascular access procedures.
What You Will Learn
- The article’s purpose as a correction to prior official coding guidance
- General anatomic and procedural features of tunneled vascular access placement
- The role of Coding Clinic references in the discussion of this topic
- Why the correction is relevant to documentation review and coding context
Who Should Read This
- Medical coders
- Coding auditors
- CDI specialists
- Interventional radiology staff
- Vascular access clinicians
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