Vascular Access Device

The "Clarification of Vascular Access Devices vs. Central Venous Catheter" article published in Coding Clinic, First Quarter 1996, pp. 3-4, inadvertently included Perm-a-cath as an example of the totally implantable vascular access device (TIVAD). Perm-a-cath is not a TIVAD. Placement may be performed via the subclavian or jugular vein (the femoral artery may even be used). The catheter is tunneled through and cuffed (to the skin). An external portion of the catheter may be seen at the insertion site. The correct code for Perm-a-cath is 38.93, Puncture of vessel, venous catheterization, NEC. ...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article reviews a Coding Clinic clarification concerning vascular access devices and a central venous catheter example. It is relevant to coders and clinical documentation staff who work with vascular access terminology, catheter placement language, and legacy ICD procedure coding references.

Why This Topic Matters

Accurate understanding of device terminology affects documentation review, code lookup, and consistency when older coding references are discussed in educational or audit contexts.

What You Will Learn

  • How the article frames a clarification about vascular access device terminology.
  • What broad documentation details are associated with the device discussed.
  • How the article situates the topic within a published Coding Clinic correction.
  • How a legacy ICD procedure code reference is presented in the article.

Who Should Read This

  • Medical coders
  • Coding educators
  • Clinical documentation specialists
  • Compliance/audit staff
  • Health information management professionals

Codes Discussed

  • ICD-9-CM: 38.93

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