![]() An incision was made in the anterior chest wall and a subcutaneous pocket was created. Device Character for Port-A-Cath Placement- Q4 2013 When the provider’s documentation does not specify the end placement of the infusion device, the imaging report may be used to identify the body part. For coding purposes, can imaging reports be used to determine the end placement of the device? When coding the placement of an infusion device such as a peripherally inserted central catheter (PICC line), the code assignment for the body part is based on the site in which the device ended up (end placement). Use of Imaging Report to Confirm Catheter Placement- Q3 2014 AHA Coding Clinic 3rd Quarter 2014 page 5-6, advices that imaging reports can be used to identify end placement of the catheter for appropriate body part coding when provider documentation does not specify.ĪHA Coding Clinic Advice For ICD-10-CM/PCS Related To Venous Catheters & Linesīelow are several AHA Coding Clinic references related to catheters and other venous access devices for ICD-10-CM/PCS that may be beneficial while coding or researching this topic.Physician documentation is needed for the intended use of the line and the anatomical site that the catheter ends up.ICD-10-PCS Coding Tips for Venous and Arterial catheters: Arterial lines are generally not used for administration of medications or fluids. Most frequent care settings are intensive care unit or anesthesia when frequent blood draws or blood pressure monitoring are needed. Common uses for PICC lines are chemotherapy, extended antibiotic regimens, total parenteral nutrition (TPN), and blood samples for laboratory tests.Īrterial Line– (also known as: a-line or art-line) a thin catheter inserted into an artery most commonly radial, ulnar, brachial, or dorsalis pedis artery. When inserted the tip of the catheter resides in the superior vena cava or cavoatrial junction. Peripheral Lines– (PICC) a peripheral catheter inserted into a vein for prolonged intravenous access to administer medications over a long period of time. Common uses are for medication and fluid administration. ![]() ![]() This article aims to provide greater clarity with regard to procedure coding tips for coding of venous catheters.Ĭentral Lines– (CVC)- Central Venous Catheter or central lines are inserted into large veins, typically the jugular, subclavian, or femoral vein. One challenging coding area with the ICD-10 transition is the coding of venous and arterial lines and catheters. ![]()
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