PICC line placement ICD-10 PCS

pscheiderichpscheiderich
in CDI Talk Archive
Hi Everyone,

What ICD-10 PCS code do I use if the catheter tip ends up in the Cavoatrial Junction? (The CAJ is the joint between the Superior Vena Cava and the Atrium.

Appreciate any suggestions.


Paula Scheiderich, RHIT
Clinical Documentation Specialist
Oneida Healthcare
315 363-6000 Ext. 1084
pscheiderich@oneidahealthcare.org

Comments

  • deanne_wilkdeanne_wilk
    edited April 2016
    Interested as well and how would you code if they did both fluoro and ultrasound as I10 makes you choose one or the other?


  • ssalinasssalinas
    edited April 2016
    I have been using the code for superior vena cava figuring that if it ends at the junction, it is not actually in the atrium.

    02HV33Z

    I don't know if this is correct reasoning but it is the best I have until further direction is provided. What do you think?

    Sharon Salinas, CCS
    Health Information Management
    Barlow Respiratory Hospital
    2000 Stadium Way, Los Angeles CA 90026
    Tel: 213-250-4200 ext 3336
    FAX: 213-202-6490
    ssalinas@barlow2000.org

  • pscheiderichpscheiderich
    edited April 2016
    That was my thought also.

    Paula Scheiderich, RHIT
    Clinical Documentation Specialist
    Oneida Healthcare
    315 363-6000 Ext. 1084
    pscheiderich@oneidahealthcare.org


  • pscheiderichpscheiderich
    edited April 2016
    In this case they did use both fluroscopy and ultrasound guidance. I agree this I a good one to submit to Coding Clinic.

    Paula Scheiderich, RHIT
    Clinical Documentation Specialist
    Oneida Healthcare
    315 363-6000 Ext. 1084
    pscheiderich@oneidahealthcare.org



  • ssalinasssalinas
    edited April 2016
    If they used both, I would code both.

    Sharon Salinas, CCS
    Health Information Management
    Barlow Respiratory Hospital
    2000 Stadium Way, Los Angeles CA 90026
    Tel: 213-250-4200 ext 3336
    FAX: 213-202-6490
    ssalinas@barlow2000.org


  • pscheiderichpscheiderich
    edited April 2016
    We use 3M encoder and it asks if you wish to code radiologic guidance. I don’t see why you can't code both as radiologist states both were used in the report.

    Paula Scheiderich, RHIT
    Clinical Documentation Specialist
    Oneida Healthcare
    315 363-6000 Ext. 1084
    pscheiderich@oneidahealthcare.org


  • ssalinasssalinas
    edited April 2016
    I don't think that would be the case since the insertion code is only used once. A guidance code is used twice, one for each type used.

    What do others think?

    Sharon Salinas, CCS
    Health Information Management
    Barlow Respiratory Hospital
    2000 Stadium Way, Los Angeles CA 90026
    Tel: 213-250-4200 ext 3336
    FAX: 213-202-6490
    ssalinas@barlow2000.org


  • fishdl@shands.ufl.edufishdl@shands.ufl.edu
    edited April 2016
    I agree with Sharon as far as insertion code x 1 and guidance code x 2.
    I have a somewhat related question... is your facility planning to code the imaging (fluoroscopy and/or ultrasound) for line insertions for Inpatient stays?

    Thanks,
    Donna


  • ssalinasssalinas
    edited April 2016
    At this point, yes.

    Sharon Salinas, CCS
    Health Information Management
    Barlow Respiratory Hospital
    2000 Stadium Way, Los Angeles CA 90026
    Tel: 213-250-4200 ext 3336
    FAX: 213-202-6490
    ssalinas@barlow2000.org


  • pscheiderichpscheiderich
    edited April 2016
    Yes we are also.

    I did submit a question to Coding Clinic yesterday. I'll post the answer when I receive it.

    Paula Scheiderich, RHIT
    Clinical Documentation Specialist
    Oneida Healthcare
    315 363-6000 Ext. 1084
    pscheiderich@oneidahealthcare.org



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