Update: Coding Hydrocephalus with VP Shunt
I heard back from Coding Clinic regarding whether the dx of hydrocephalus should be coded when the patient has a VP shunt. Here's there reply:
It would be appropriate to assign a code for the hydrocephalus in addition to code
Z98.2, Presence of cerebrospinal fluid drainage device, for ventriculoperitoneal shunt
status due to hydrocephalus. Although the hydrocephalus is being controlled by the VP
shunt, the condition is still present.
The patient has a chronic condition, which will require some form of clinical evaluation
and/or monitoring. The shunt is draining the fluid, thereby eliminating a buildup of fluid in
the patient.
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