Ventriculo-Peritoneal Shunt

The removal, shortening, or trial clamping of the peritoneal portion of a ventriculo-peritoneal shunt involves only a puncture wound to remove, shorten, or clamp the subcutaneous tunneled tube. The procedure is not coded when it involves only a puncture wound. Ventriculo-abdominal (peritoneal) shunt: Removal, complete, 02.43 Removal, partial, of peritoneal portion (by puncture wound approach) - Omit coding Replacement of shunt, 02.42 Shortening of peritoneal portion (by puncture wound approach) - Omit coding Clamping of peritoneal portion (trial clamping) - Omit coding ...

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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 provides a brief coding reference for ventriculo-peritoneal shunt procedures and related peritoneal-portion interventions. It is relevant to coders and billing staff who need to distinguish between coded shunt procedures and situations where only a puncture-wound approach is involved.

Why This Topic Matters

Shunt-related procedures can affect procedure coding and claim accuracy, especially when the service performed is limited in scope. This note helps readers recognize the general coding context for these interventions.

What You Will Learn

  • The coding context for ventriculo-peritoneal shunt management.
  • Which broad shunt-related interventions are discussed in the note.
  • How the article frames certain peritoneal-portion procedures for coding review.
  • The general distinction between coded shunt procedures and omitted coding situations.

Who Should Read This

  • Medical coders
  • Coding auditors
  • Billing staff
  • Revenue cycle professionals
  • Clinical documentation staff

Codes Discussed

  • ICD-9-CM: 02.43
  • ICD-9-CM: 02.42

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