ICD10 Coding of Interventional Nephrology Procedures
ICD10 Coding of Interventional Nephrology Procedures
ICD9 Code
585.3 585.4 585.5 585.6 V56.1 V56.2 V72.83
ICD10 Code
N18.3 N18.4 N18.5 N18.6 Z49.01 Z49.02 Z01.818 Z99.2 Z92.83 Z87.892
Patient related diagnoses Descriptor (Always choose one or more of these in addition to the specific procedure indication diagnosis
codes)
Chronic kidney disease, stage 3 Chronic kidney disease, stage 4 Chronic kidney disease, stage 5 End stage renal disease requiring dialysis Encounter for fitting and adjustment of extracorporeal dialysis catheter Encounter for fitting and adjustment of peritoneal dialysis catheter Encounter for other preprocedural examination Dependence on dialysis, presence of arteriovenous shunt for dialysis Personal history of failed conscious sedation during the procedure Personal history of anaphylaxis
Hemodialysis Catheter Procedures
ICD9 Code ICD10 Code Descriptor
Code both for all catheter procedures
585.6
N18.6
End stage renal disease requiring dialysis
V45.11 Z99.2
Dependence on dialysis
Initial Placement or removal
V56.1
Z49.01
Encounter for fitting and adjustment of extracorporeal dialysis catheter
Placement due to complication of a fistula or graft
996.73 T82.838A Hemorrhage of vascular prosthetic devices, implants and grafts
T82.848A Pain from vascular prosthetic devices, implants and grafts
T82.858A Stenosis of vascular prosthetic devices, implants and grafts
T82.868A Thrombosis of vascular prosthetic devices, implants and grafts
T82.898A Other specified complication of vascular prosthetic devices, implants and grafts
T82.9xxA Unspecified complication of cardiac and vascular prosthetic device, implant and graft
Placement, exchange or removal due to mechanical complication with a catheter
996.1/
T82.41xA Breakdown (mechanical) of vascular dialysis catheter
996.3
T82.42xA Displacement of vascular dialysis catheter, malposition
T82.43xA Leakage of vascular dialysis catheter
T82.49xA Other complication of vascular dialysis catheter, obstruction, perforation, protrusion
Infections
999.31/ T82.7xxA Infection and inflammatory reaction due to cardiac and vascular devices, implants and grafts
999.32
Peritoneal Dialysis Catheters
ICD9 Code ICD10 Code Descriptor
Code all that apply
585.6
N18.6
End stage renal disease requiring dialysis
V45.11 Z99.2
Dependence on dialysis
585.5
N18.5
Chronic kidney disease, stage 5
Initial placement or removal
V56.2
Z49.02
Encounter for fitting and adjustment of peritoneal dialysis catheter
ICD10 Coding of Interventional Nephrology Procedures
Pg. 2
Revision, re-positioning, replacement or removal 996.56 T85.611A Breakdown (mechanical) of intraperitoneal dialysis catheter
T85.621A Displacement of intraperitoneal dialysis catheter T85.631A Leakage of intraperitoneal dialysis catheter T85.691A Other mechanical complication of intraperitoneal dialysis catheter 996.68 T85.71xA Infection and inflammatory reaction due to peritoneal dialysis catheter
Endovascular Procedures
ICD9 Code ICD10 Code Descriptor
Code all that apply
585.6
N18.6
End stage renal disease requiring dialysis
V45.11 Z99.2
Dependence on dialysis
585.5
N18.5
Chronic kidney disease, stage 5
Complications in native vessels
444.21 I74.2
Embolism and thrombosis of arteries of the upper extremity arteries
447.1
I77.1
Stricture of artery
459.2
I87.1
Compression of vein, stricture
782.3
R60.0
Localized edema
Complications in avg or avf
996.73 T82.838A Hemorrhage of vascular prosthetic devices, implants and grafts
T82.848A Pain from vascular prosthetic devices, implants and grafts
T82.858A Stenosis of vascular prosthetic devices, implants and grafts
T82.868A Thrombosis of vascular prosthetic devices, implants and grafts
T82.898A Other specified complication of vascular prosthetic devices, implants and grafts
T85.81xA Embolism due to internal prosthetic devices, implants and grafts, not elsewhere classified
999.31/ T82.7xxA Infection and inflammatory reaction due to cardiac and vascular devices, implants and grafts
999.32
Mechanical complications of dialysis fistula
996.1
T82.510A Breakdown (mechanical) of surgically created arteriovenous fistula
T82.520A Displacement of surgically created arteriovenous fistula
T82.530A Leakage of surgically created arteriovenous fistula
T82.590A Other mechanical complication of surgically created arteriovenous fistula, obstruction,
perforation, protrusion
Mechanical complications of dialysis graft
996.1
T82.511A Breakdown (mechanical) of surgically created arteriovenous shunt
T82.521A Displacement of surgically created arteriovenous shunt
T82.531A Leakage of surgically created arteriovenous shunt
T82.591A Other mechanical complication of surgically created arteriovenous shunt, obstruction,
perforation, protrusion
1700 Rockville Pike ? Suite 220 ? Rockville, MD 20852 Phone: 301-468-3515 ? Fax: 301-468-3511 ? email: rpa@
ICD10 Coding of Interventional Nephrology Procedures
Pg. 3
General symptoms
729.5
M79.621
M79.622
M79.631
M79.632
M79.641
M79 642
M79.644
M79.645
Pain in right upper arm Pain in left upper arm Pain in right forearm Pain in left forearm Pain in right hand Pain in left hand Pain in right finger(s) Pain in left finger(s)
Surgical Procedures
ICD9 Code ICD10 Code Descriptor
Code all that apply
585.6
N18.6
End stage renal disease requiring dialysis
V45.11 Z99.2
Dependence on dialysis
585.5
N18.5
Chronic kidney disease, stage 5
Mechanical complications of dialysis fistula
996.1
T82.510A Breakdown (mechanical) of surgically created arteriovenous fistula
T82.520A Displacement of surgically created arteriovenous fistula
T82.530A Leakage of surgically created arteriovenous fistula
T82.590A Other mechanical complication of surgically created arteriovenous fistula, obstruction,
perforation, protrusion
Mechanical complications of dialysis graft
996.1
T82.511A Breakdown (mechanical) of surgically created arteriovenous shunt
T82.521A Displacement of surgically created arteriovenous shunt
T82.531A Leakage of surgically created arteriovenous shunt
T82.591A Other mechanical complication of surgically created arteriovenous shunt, obstruction,
perforation, protrusion
Complications in native vessels
ICD9 Code ICD10 Code Descriptor
444.21 I74.2
Embolism and thrombosis of arteries of the upper extremity arteries
447.1
I77.1
Stricture of artery
459.2
I87.1
Compression of vein, stricture
782.3
R60.0
Localized edema
Complications in avg and avf
996.73 T82.838A Hemorrhage of vascular prosthetic devices, implants and grafts
T82.848A Pain from vascular prosthetic devices, implants and grafts
T82.858A Stenosis of vascular prosthetic devices, implants and grafts
T82.868A Thrombosis of vascular prosthetic devices, implants and grafts
T82.898A Other specified complication of vascular prosthetic devices, implants and grafts
T85.81xA Embolism due to internal prosthetic devices, implants and grafts, not elsewhere classified
999.31/ T82.7xxA Infection and inflammatory reaction due to cardiac and vascular devices, implants and grafts
999.32
1700 Rockville Pike ? Suite 220 ? Rockville, MD 20852 Phone: 301-468-3515 ? Fax: 301-468-3511 ? email: rpa@
ICD10 Coding of Interventional Nephrology Procedures
Pg. 4
General symptoms
729.5
M79.621
M79.622
M79.631
M79.632
M79.641
M79 642
M79.644
M79.645
Pain in right upper arm Pain in left upper arm Pain in right forearm Pain in left forearm Pain in right hand Pain in left hand Pain in right finger(s) Pain in left finger(s)
ICD9 Code
ICD10 Code I97.121 I97191 I97.418
I97.51
I97.711 I97.791 J95.811A J95.821A T81.10xA T81.11xA T81.12xA T81.19xA T81.4xxA T81.718A T81.72xA T81.89xA T81.9xxA T88.52xA T88.6xxA
T88.7xxA T88.8xxA T88.9xxA
Procedure complications Descriptor Postprocedural cardiac arrest following other surgery Other postprocedural cardiac functional disturbances following other surgery Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating other circulatory system procedure Accidental puncture and laceration of a circulatory system organ or structure during a circulatory system procedure Intraoperative cardiac arrest during other surgery Other intraoperative cardiac functional disturbances during other surgery Postprocedural pneumothorax Postprocedural respiratory failure Post procedural shock, unspecified Post procedural shock, cardiogenic Post procedural shock, septic Other post procedural shock, hypovolemic Infection following a procedure Complication of other artery following a procedure, not elsewhere classified, air embolism Complication of vein following a procedure, not elsewhere classified, air embolism Other complications of procedures, not elsewhere classified Unspecified complication of procedure Failed moderate sedation during procedure Anaphylactice reaction due to adverse effect of correct drug or medicament properly administered, analphylactoid reaction Unspecified adverse effect of drug or medicament, drug hypersensitivity, drug reaction Other specified complications of surgical and medical care, not elsewhere classified Complication of surgical and medical care, unspecified
7th digit codes:
A
initial encounter
D
subsequent encounter
S
sequela
X
record if no 6th digit
1700 Rockville Pike ? Suite 220 ? Rockville, MD 20852 Phone: 301-468-3515 ? Fax: 301-468-3511 ? email: rpa@
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